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Purpose

– The purpose of this paper is to explore the gender identity of people with learning disabilities as a precursor to considerations of gender dysphoria.

Design/methodology/approach

– Discussion supported by illustrations from the literature.

Findings

– There is limited research on gender identity for people with learning disabilities.

Practical implications

– There is an urgent need to look at how men with Klinefelter's syndrome and learning disabilities are supported in relation to common female sexual characteristics.

Originality/value

– This is personal perspective on gender and people with learning disabilities which may support work with people who question their gender.

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