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Birth assignment, also called gender assignment or assigned gender at birth (abbreviated AGAB), refers to assigning a gender to an infant based on their designated sex at birth, which is usually based only on the appearance of their external genitalia.[1] Birth assignments are recorded as "sex" on birth certificates[2] with the assumption that an individual's eventual gender identity will match their birth assignment—assigned male at birth (AMAB) or assigned female at birth (AFAB).[1] People whose gender identity aligns with their birth assignment are cisgender;[3] transgender people have a gender identity that differs from their assigned gender at birth.[1] This practice also ignores natural sexual variations, such as various intersex traits, or treats those variations as problems to be "fixed".[4]

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