Gender Dysphoria and Body Integrity Identity Disorder are sometimes together in the 19% of the cases. Other discomfort diseases related to identity, body scheme and/or integrity are discussed in relation to Gender Dysphoria. Because persons experiencing Gender Dysphoria need a precise diagnostic that protects their access to care and will not be used against them in social, occupational or legal areas a distinction diseases is provided in this text, because a meticulous description with clear exclusion criteria is required.