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In 1980, LDS authorities used the term “transsexual” for the first time publicly when they prohibited “transsexual operations” in their official General Handbook of Instructions. They made clear that “members who have undergone transsexual operations must be excommunicated” and that “after excommunication such a person is not eligible for baptism.” Such harsh policies were rooted in a broader ambience of strict boundary enforcement of a male–female gender binary and patriarchal hierarchy. This gender-based power structure relied (and still relies) on biologically and theologically essential claims of sexual difference while paradoxically asserting the perpetual malleability and fluidity of gender performance and behavior. In other words, LDS leaders have simultaneously framed gender as biologically immutable and a contingent product of culture, practice, and environment. However, because the LDS Church among broader conservative movements was focused on the more culturally and politically salient issue of homosexuality, their mentions of trans issues remained scarce for many decades.