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Sex-separated public toilets are a source of difficulty for some people. For example, people with children of the opposite sex must choose between bringing the child into a toilet not designated for the child's gender, or entering a toilet not designated for one's own. Men caring for babies often find that only the women's washroom has been fitted with a change table. People with disabilities who need assistance to use the restroom have an additional problem if their helper is the opposite sex.
Sex-separated public toilets are often difficult to negotiate for transgendered people, who are often subject to embarrassment, harassment, or even assault or arrest by others offended by the presence of a person they interpret as being of the other gender (whether due to their outward presentation or their genital status). Transgendered people have been arrested for using not only toilets that correspond to their gender of identification, but also ones that correspond to the sex they were born with.
Some public places (such as facilities targeted to the transgendered or LGBT communities, and a few universities and offices) provide individual washrooms that are not gender-specified, specifically in order to respond to the concerns of gender-variant people; but this remains very rare and often controversial.
A significant number of facilities have additional gender-neutral public toilets for a different reason — they are marked not for being for females or males, but as being accessible to persons with disabilities, and are adequately equipped to allow a person using a wheelchair and/or with mobility concerns to use them.