“…To improve data collection, assessment, and comparison, sexual activity should explicitly state what body parts are interacting, such as anal receptive intercourse, vaginal receptive intercourse, and receiving oral intercourse. The type of sexual activity cannot be assumed by listing patients’ sexual orientation, and sexuality does not equate to sexual behaviour 73,177 . In addition, for some TGD patients, partner preferences following vaginoplasty changed 43,125 .…”