The term transgender has largely replaced the older term transsexual, which is now considered outdated. Transgender is a less clinical term, referring more to gender identity and gender expression than to sexual orientation or physical sex characteristics. It is also a more general and inclusive term: a transgender person may be gay, transsexual, transvestite, or even genderqueer. Some transgender people object to the adjectival variant transgendered, because the –ed suffix could imply that something “happened” to make the person transgender. The adjective is more common than the noun; in fact, some people reject the use of transgender as a noun.