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In a study of arguments that intersex people fit into a third gender classification, intersex scholar Morgan Holmes argues that much analysis of a third sex or third gender is simplistic: much of the existing work on cultural systems that incorporate a 'third sex' portray simplistic visions in which societies with more than two sex/gender categories are cast as superior to those that divide the world into just two.I argue that to understand whether a system is more or less oppressive than another we have to understand how it treats its various members, not only its 'thirds'.Some years after Alex Mac Farlane, Australian Norrie May-Welby was recognized as having unspecified status.The Open Society Foundations published a report, License to Be Yourself in May 2014, documenting "some of the world's most progressive and rights-based laws and policies that enable trans people to change their gender identity on official documents".Because of both peer and parental pressure, those growing up with the most ambiguous appearances had the most troubled childhoods and difficulties later in life.Sell also discovered similarities between the third genders of the East and those of the West.Gender may be organized differently in different cultures.In some non-Western cultures, gender is not binary and one can cross freely between male and female.

It is also a social category present in societies that recognize three or more genders.

At the same time, feminists began to draw a distinction between (biological) sex and (social/psychological) gender.

Contemporary gender theorists usually argue that a two-gender system is neither innate nor universal.

In different cultures, a third or fourth gender may represent very different things.

To the Indigenous Māhū of Hawaii, it is an intermediate state between man and woman, or to be a "person of indeterminate gender".

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