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Designated female at birth refers to an individual that was deemed to be female at birth by medical professionals. This is usually based on the professional's subjective viewing of the sexual characteristics.
Designated female at birth may or may not correlate with the gender that the individual comes to identify with. The designation is typically based on physical characteristics displayed by the individual at birth. In the case of non binary sexed bodies, once a sex is assigned, the body can be sugically altered to reflect the culturally consrtucted idea of the female body.