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The ones in the U.S. appear to be Indian reservations. I'm not surprised, seeing as many Indian tribes respect "Two-Spirits", an umbrella term for LGBT persons. India and Thailand also have cultures of MtF transgenderism, called Aravani girls and Lady-boys, respectively. The Philippines also celebrates a third MtF identity, called Fa' fafine. (Pronounced Fah-fah-fee-nay)

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