This spring, the American Psychiatric Association solicited public comments on the proposed draft of the fifth edition of the Diagnostic and Statistical Manual (DSM-5). After much consultation with other advocacy and service groups - including Callen-Lorde Community Health Center, the LGBT Community Center of New York City, Transgender Law Center, and the National Center for Transgender Equality - we submitted a statement calling for the removal from the DSM of all diagnoses pathologizing gender identity. These diagnoses include Gender Identity Disorder, the proposed diagnosis of Gender Incongruence (GI), and Transvestic Fetishism. However, recognizing that the American Psychiatric Association is unlikely to take such a step during this round of revisions, the Coalition’s statement included several substantive recommendations concerning the draft language. Of primary importance is support for the proposed diagnosis of GI over the current diagnosis of Gender Identity Disorder (GID), and for the provision of an “exit clause” for people who have accessed the care that they need and no longer experience clinical incongruence between their gender identity and their physical sex. We also advocate the removal of the diagnoses of Gender Identity Disorder or Gender Incongruence in Children and of Transvestic Fetishism, as well as the elimination of diagnostic criteria for Gender Incongruence in Adolescents or Adults that focus on sexual orientation or purported “age of onset” of feelings of gender incongruence. Our statement can be read here.