Perform the operation and simplify your answer: 
+ 
Definitions:
Gender Dysphoria
A condition where a person experiences discomfort or distress due to a mismatch between their biological sex and gender identity.
Transgender
Referring to individuals whose gender identity or expression differs from the sex they were assigned at birth.
Distress
Extreme anxiety, sorrow, or pain.
Transgender
A phrase defining an individual whose gender identity does not align with the sex designated to them at birth.
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