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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'.
From a rights-based perspective, third sex / gender options should be voluntary, providing trans people with a third choice about how to define their gender identity.
A majority of them, again like their Eastern counterparts, were artistic enough to make a living from their abilities.
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".