I remember reading (sorry, this was before the Internet) about some tribes of Native Americans which allowed some men to live as women. These TGs dressed as women, did women’s work, and went to bed with other men. The men they went to bed with lived in traditional male roles.
I remember reading also about a culture which had an extremely macho standard, and some males who couldn’t take the pressure to be ultramasculine would cut off their own testicles or penis or both, run down the street with the bloody genitals in their hands, and thus proclaim that they were opting out of the male society. And that this was regarded as taking the EASY way out. Again, this was before the internet, and I don’t have any cites. Just stuff I remember reading about.
In American and England, at least until very recently, it was VERY common to lock up anyone who was not considered normal. The person could be locked up at home, or put away in an insane asylum. So, Society wouldn’t see Crazy Uncle Joe, who preferred to be called Josephine, and who loved to wear silk dresses. Nowadays we tend to try to mainstream people who are different from the norm, but this was not always the case. Sometimes mainstreaming works, and sometimes it doesn’t, but the practice and applications are a topic for a GD thread or two.