The general term preferred by Native peoples and by anthropologists for a person with a third or fourth gender identity is

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The term "Two Spirit" is preferred by many Native peoples and anthropologists to describe individuals who embody characteristics of both genders or have a distinct gender identity outside of the male/female binary. This term is respectful and acknowledges the cultural and spiritual roles these individuals often hold within their communities.

The General Term Preferred by Native Peoples and by Anthropologists