Skyler Pfeil, a transgender 15-year-old who loves art and the outdoors, hopes to have breast-removal surgery soon. Of the female body he was born with, he says, “I felt it was wrong.” Getting medical intervention to transform his appearance to match his male identity has been difficult. Photographed Sept. 21, 2016 in the Seattle metro area. (Erika Schultz/The Seattle Times via AP)
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