Gender Identity Scale for Transgender Women (GIS-TW)

Gender Identity Scale for Transgender Women (GIS-TW) is a 21-item measure of the different aspects of gender identity for transgender women in China before, during, and after transition in order to improve gender-affirming medical treatment. This scale contains 6 subscales: 1. Social gender role affirmation, 2. Physical and mental incongruence, 3. Physical transition, 4. Self-affirmative gender expression, 5. Sexual attraction and 6. Sexual pleasure.


Geographies Tested: China

Populations Included: Transgender

Age Range: Adults


Social gender role affirmation
1. I want to participate in all kinds of daily activities as a transgender woman, such as entertainment, shopping, dining and so on.
2. I want to carry out my work activities as a transgender woman, such as going to work, meeting with colleagues and leaders, meeting clients and so on. 3. I want to live my life as a transgender woman all the time.

Mental incongruence
4. I fantasize about myself as a transgender woman daily.
5. I am a transgender woman living in a man's body.
6. My body makes me feel that I am not a real woman.

Physical transition
7. I want to remove my male reproductive organs, such as testicles and penis.
8. I am sure I'm moving in the direction of transsexuality.
9. I want to change my physical characteristics by taking estrogen.
10. I want to change my male secondary sex characteristics, such as Adam's apple, beard, body hair and so on.

Self-affirmative gender expression
11. I have taken public transport as a transgender woman, such as taxi, train, plane and so on.
12. I have checked in a hotel as a transgender woman.
13. I have appeared in different social situations as a transgender woman.
14. Relatives or friends have seen my transgendered identity.

Sexual attraction
15. When I appear feminine, I think I'm attractive.
16. When I appear feminine, I think someone would want to have sexual contact with me, such as kissing or caressing.
17. When I appear feminine, I think I am sexually attractive to others.

Sexual pleasure
18. I prefer the ways of having sex that makes me feel like a woman.
19. I wish I could have vaginoplasty to have sex with my partner.
20. When I masturbate by stimulating my genitals, I feel more comfortable if I imagine my body parts are womanly.
21. I wish I could have breast implants and be fondled by my partner, which makes me sexual excited.

Response Options:
5-point Likert scale
I strongly disagree - 1
I strongly agree - 5

Scoring Procedures

The mean score of the items in each subscale is calculated.

Original Citation

Han, M., Pan, B., Wang, Y., Wilson, A., Chen, R., & Wu, R. (2021). Development and psychometric evaluation of the Gender Identity Scale for Transgender Women in China. Frontiers in Psychology, 12, 792776.

Psychometric Score

Ease of Use Score

Scoring breakdown

Formative Research

Qualitative Research

Existing Literature/Theoretical Framework

Field Expert Input

Cognitive Interviews / Pilot Testing








Criterion (gold-standard)



Ease of Use


Scoring Clarity


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