The gender binary system that exists within many western societies is far from a universal concept.
In fact, numerous Indigenous communities around the world do not conflate gender and sex; rather, they recognize a third or more genders within their societies. Individuals that identify as a third gender many times have visible and socially recognizable positions within their societies and sometimes are thought to have unique or supernatural power that they can access because of their gender identity. However, as European influence and westernized ideologies began to spread and were, in many cases, forced upon Indigenous societies, third genders diminished, along with so many other Indigenous cultural traditions.