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Transgender performers (often fetishized through the term "shemale"). A focus on physical attributes (implied by "big"). A specific activity or aesthetic (smoking). Health and Community Statistics

: Using the term for a trans woman often implies she is working in the sex trade or reduces her identity to a fetish. shemale big smokink

For those wishing to use respectful and accurate language outside of adult entertainment contexts, the following terms are standard: the following terms are standard: