Transgender people in China

A Beijing Opera or Peking Opera performer.

Sinologists often look to theatrical arts when imaging China in a transgender frame because of the prominent presence of cross-gender behavior.[14]

Peking Opera, also known as Beijing Opera, had male actors playing female dan characters. Men traditionally played women's roles due to women being excluded from performing in front of the public as a means of preventing carnal relations.[15] Although, before 1978, male to female cross dressing was mostly for theatrical performances, used for comedic effect or to disguise a character in order to commit a crime or defeat enemies. Female to male characters were considered heroic in theatrical performances.[16]

During the Ming and Qing Dynasties of China, cross dressing occurred both onstage and in everyday life. Within theater, some who were intrigued by it would roleplay, organize their own troupes, write, and perform theatrical pieces.[17]

Many of early modern China's stories reflected cross-dressing and living the life of a different gender for a short period of time, mainly featuring the cross-dressers as virtuous, like Mulan.[17]

Li Yu, a writer and entrepreneur, featured the gendering of bodies to be dependent upon men's desires and operated by a system of gender dimorphism, assumed by social boundaries of the time. When Li Yu created an acting troupe, as many elite males did, he had a concubine that played a male role as he believed she was "suited to male" or considered her more of the masculine gender.[17]

In modern-day Peking Opera and film, there are male to female cross dressers and vice versa for characters, especially with certain time periods.[18]

According to some scholars, female infants were forced to dress up as males ("cross-dressing"). They claim that this, in turn, affected those children into living transgender lives.[17]

Gender reassignment on official identification documents (Resident Identity Card and Hukou) is allowed in China only after the sex reassignment surgery. The following documents are required in order to apply for gender reassignment:[19]

• A formal written request from the applicant;
• Household Registration Book (which may need to be retrieved from the applicant’s family) and Resident Identity Card;
• A certificate of gender authentication issued by a domestic tertiary hospital, along with verification of the certificate from a notary public office or judicial accreditation body;
• A notice of permission for gender alteration [of the document] from the human resources office of the institution, collective, school, enterprise, or other work units of the individual (if applicable).

In China, trans women are required to notify family, prove they have no criminal record, and undergo psychological intervention in order to be allowed a prescription for hormone medication.[20] Familial disapproval had led many to seek alternative sources of their medication, including online sources.[21][22]

Based on the Management Specification on Gender Reassignment Technology published by National Health Commission in 2022, the surgical patient has to be at least over 18 years old, have the desire of intending gender reassignment persistently for more than 5 years, be unmarried in order to take the sex reassignment surgery;[23] plus, proof of familial consent is required prior to any surgical practice regardless of surgical types.[19]

In 2009 the Chinese government made it illegal for minors to change their officially-listed gender, stating that sexual reassignment surgery, available to only those over the age of twenty, was required in order to apply for a revision of their identification card and residence registration.[24]

In early 2014 the Shanxi province started allowing minors to apply for the change with the additional information of their guardian's identification card. This shift in policy allows post-surgery marriages to be recognized as heterosexual and therefore legal.[25]

In November 2022, Chinese government began preparations to restrict internet purchases of estradiol and cyproterone, and a draft had been reviewed.[26][27] The ban was put in place in December so that even those with prescriptions cannot buy these drugs online.[28]

Confucianism, one of the dominant value systems in China, enforces and promotes traditional gender roles. Confucianism has a strong belief in maintaining males as the head of the household; thus, transgender people are considered to usurp said gender roles.[31]

Buddhism views all bodily concerns as entrapment in the Samsara, equally including those concerns regarding LGBT+ identities and issues.[32]

The attitudes of younger generations that have been less exposed to Maoist ideologies are beginning to reflect more accepting attitudes towards members of the LGBTQ+ community.[5]

Transgender youth in China face many challenges. One study found that Chinese parents report 0.5% (1:200) of their 6 to 12-year boys and 0.6% (1:167) of girls often or always ‘state the wish to be the other gender’. 0.8% (1:125) of 18- to 24-year-old university students who are birth-assigned males (whose sex/gender as indicated on their ID card is male) report that the ‘sex/gender I feel in my heart’ is female, while another 0.4% indicating that their perceived gender was ‘other’. Among birth-assigned females, 2.9% (1:34) indicated they perceived their gender as male, while another 1.3% indicating ‘other’.[33]

One transgender man recounts his childhood as one filled with confusion and peer bullying. In school he was mocked for being a tomboy and was regularly disciplined by teachers for displaying rowdy boy-like behavior. Some recommended to his parents that he be institutionalized.[24]

These attitudes may be slowly changing and many Chinese youth are able to live happy and well-adjusted lives as members of the LGBT+ community in modern China.[5] In July 2012 the BBC reported that the new open economy has led to more freedom of sexual expression in China.[34]

In 2021, China's first clinic for transgender children and adolescents was set up at the Children's Hospital of Fudan University in Shanghai to safely and healthily manage transgender minors' transition.[35]

According to a survey conducted by Peking University, Chinese trans female students face strong discrimination in many areas of education.[36] Sex segregation is found everywhere in Chinese schools and universities: student enrollment (for some special schools, universities and majors), appearance standards (hairstyles and uniforms included), private spaces (bathrooms, toilets and dormitories included), physical examinations, military trainings, conscription, PE classes, PE exams and physical health tests. Chinese students are required to attend all the activities according to their legal gender marker. Otherwise they will be punished. It is also difficult to change the gender information of educational attainments and academic degrees in China, even after sex reassignment surgery, which results in discrimination against well-educated trans women.[37][38]

Literature and plays in the 17th century featured cross-dressing, like Ming dramatist Xu Wei who wrote Female Mulan Takes Her Father’s Place in the Army and The Female Top Candidate Rejects a Wife and Receives a Husband. Despite the female to male cross dressing, the woman would eventually return to her socially gendered roles of wearing women's clothes and would marry a man.[17]

Technological advancements help to promote greater awareness among youth of LGBT+ issues. Access to Western media such as trans-themed web sites and featuring of trans-identifying characters in Western movies are broadening the knowledge and sense of community that many trans youth seek.[5][39]

Entertainers:

• Jin Xing[40]

Models:

• Liu Shihan

Citizens:

• Liu Ting[41]

The following Chinese films portray transgender characters:[2]

• Swordsman II (1992)
• The East is Red (1993)
• Whispers and Moans (2007)
• Splendid Float (2004)
• Drifting Flowers (2008)

In addition, in the 2019 documentary film, The Two Lives of Li Ermao, a trans migrant worker "transitions from male to female, then back to male," which some promoted as part of "Love Queer Cinema Week."[42]