According to Indian Country Today, all native communities acknowledged the following gender roles: “female, male, Two Spirit female, Two Spirit male and transgendered.”.

…“The Two Spirit people in pre-contact Native America were highly revered and families that included them were considered lucky. Indians believed that a person who was able to see the world through the eyes of both genders at the same time was a gift from The Creator.”

Before European Christians Forced Gender Roles, Native Americans Acknowledged 5 Genders | DailyPlug