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Untamed Noon Fluff
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Previous BTE answers have suggested that belenosians all still carry a ton of genetic modifications, with a theme of making them "better" but also more generic. They tend to not be very thin or very overweight, to being vaguely attractive but not remarkably, et cetera, and there's some very strong hints that a lot of the modifications done to them are the kinds of things that would tend them towards being good, productive, obedient and especially non-disruptive citizens, by the standards of the ruthless superscience empire that did the modifications in the first place.
So, while they approved of things that made people better by their standards (cyborg upgrades, uploading yourself to a superior robot body, etc.), and probably encouraged changes that would emphasize the unimportance of sex or gender (such as becoming an asexual robot or freely fluid jetal), simply changing from male to female or vice versa on a permanent basis actually implies significant personal and societal importance to one's sex/gender and therefore is probably something the imperials wouldn't have approved of so much, and therefore would have taken some action to discourage. Their ideals, from what we know, were departure from nature rather than embracing different nature, if you get me.
Point being, the biological factors of being transgender (though there are other factors, of course) are probably rarer in belenosians than they are in more natural species.
Culturally, well, belenosian post-ruin tribal culture both lacked any decent medicine and apparently placed high importance on being able to have lots of children, which is the sort of thing that tends a culture towards not having a high tolerance of transgender identities. So, imperial culture wouldn't have much tolerance for mtf or ftm, and tribal culture not at all, and those are the twin stars of belenosian culture overall so it's not a good outlook. Moderates between those two might be better about it, though, and we can hope that AQverse human culture is good about that sort of thing now, and it's a big influence so that might help too.
Overall, though, there are probably less transgender people among belenosians than any other species. Which is ironic, since yes, their medicine is the most advanced and their bodies the most receptive to modification. Not only with hormone treatments but things like nanobot skeletal reshaping, and cloning hormone-treated organs for transplant, and so on.
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