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Most colonists had faced difficult lives in Britain, Ireland, Scotland, or Germany. They came to the Americas to escape poverty, warfare, political turmoil, famine and disease. They believed colonial life offered new opportunities.
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This could have happened around 1954, had Green entered Kindergarten at the age of 6. It is surprising that such surgeries were already present at that time, when so much else of modern medicine had not yet been invented. Jorgensen is significant because she was the first widely known case of gender reassignment through surgical means, and it gave a public voice to others in her position.