1. noun, slang A pejorative term likening a doctor to a butcher. I'll never go to that butch again, not since he misdiagnosed my infection and I wound up in the ER!

2. noun, slang A person who is masculine in appearance and/or sensibility. Typically used of lesbians and gay men who exhibit such traits. Some lesbians describe themselves as butches, some describe themselves as femmes, and others eschew labels altogether. Julie always dates butches.

3. adjective, slang Describing a person who is masculine in appearance and/or sensibility. Typically used of lesbians and gay men who exhibit such traits. Everyone Julie dates is butch. Some lesbians describe themselves as butch, some describe themselves as femme, and others eschew labels altogether.