Hi @adam and @Johncdvorak we in Hawaii have two-spirit people, which we call "mahu" in Hawaiian. Here's an article about it:
http://america.aljazeera.com/articles/2016/1/9/mahu-hawaii-gender-LGBT-acceptance.html
"Mahu — a gender role in traditional Hawaiian society that refers to people who exhibit both feminine and masculine traits."
Seriously. It's a very excepted part of Hawaiian and local/kamaaina culture.