Thus trans women fall under the umbrella of being transgender because their gender was assigned male at birth but they identify as a woman. The Washington Blade reported that Global Rights , an international NGO, tracked the mistreatment of trans women in Brazil, including at the hands of the police. However, Heidi M Levitt describes transgender as "different ways in which people transgress the gender boundaries that are constituted within a society. Sexual orientation The stereotype of the effeminate boy who grows up to live as a woman has a very long history. List of unlawfully killed transgender people Trans women face a form of violence known as trans bashing. Transgender inequality , Transphobia , Transgender rights , and Transmisogyny Trans women, like all gender variant people, face a vast amount of discrimination and transphobia. However, she elaborates on it by saying that being a trans woman often has a negative connotation. In contrast, Levitt explains that "transsexual people have a sexual identity that does not match their physical sex" and that some desire sex-reassignment surgery. In addition, they may want or undergo surgery to change their physical appearance. This, along with sex reassignment surgery can bring immense relief, and in most cases, rids the person of gender dysphoria. For this reason, many see it as an important and appropriate distinction to include a space in the term, as in trans woman, thus using trans as merely an adjective describing a particular type of woman; this is in contrast to the usage of transwoman as one word, implying a " third gender ". The Human Rights Campaign report found some of these deaths to be direct results of an anti-transgenderism bias , and some due to related factors such as homelessness.