Doctor Sleep does not feature any identifiable transsexual characters or themes. The narrative focuses on psychic abilities, trauma, and a battle against a vampiric cult, with no elements related to transgender identity.

The movie does not contain any action or adventure elements.

All major and legacy characters in Doctor Sleep maintain the same gender as established in Stephen King's novels or the prior film adaptation of The Shining. No character canonically established as one gender is portrayed as a different gender.

The film adapts Stephen King's novel and serves as a sequel to 'The Shining.' Key legacy characters from 'The Shining' maintain their established races. New characters introduced in 'Doctor Sleep' did not have their race explicitly specified or visually depicted in the source novel, thus their on-screen portrayals do not constitute a race swap under the given definition.