To be diagnosed with gender identity disorder (GID) is to be found, in some way, to be ill, sick, wrong, out of order, abnormal, and to suffer a certain stigmatization as a consequence of the diagnosis being given at all. As a result, some activist psychiatrists and trans people have argued that the diagnosis should be eliminated altogether, that transsexuality is not a disorder, and ought not to be conceived of as one, and that trans people ought to be understood as engaged in a practice of self-determination, an exercise of autonomy. Thus, on the one hand, the diagnosis continues to be valued because it facilitates an economically feasible way of transitioning. On the other hand, the diagnosis is adamantly opposed because it continues to pathologize as a mental disorder what ought to be understood instead as one among many human possibilities of determining one’s gender for oneself.