Two feminized male American Indians.

Two American Indian males are described who wish to change sex. Both appear to be anatomically normal; one is a monozygotic twin. In both cases, feminine identification began very early in life. In both cases, there were early acceptance and positive reinforcement of the feminine behavior. These two males and the environment in which they live are contrasted with the anthropological literature published decades ago describing the unique Indian tribal role played by feminized males.