They seek to develop the physical characteristics of the desired gender, and should undergo an effective and safe treatment regimen. The goal of treatment is to rehabilitate the individual as a member of society in the gender he or she identifies with. Sex reassignment procedures necessary for the treatment of transsexual patients are allowed in our country, at Medical Services that have a multidisciplinary team composed of a psychologist, a social worker, a psychiatrist, an endocrinologist and surgeons gynecologists, plastic surgeons, and urologists.
Transgender and transsexual are commonly confused terms that both refer to gender identity. Transgender is a broader, more inclusive category that includes all individuals who do not identify with the gender that corresponds to the sex they were assigned at birth. Transsexual is a more narrow category that includes individuals who desire to physically transition to the sex that corresponds with the gender with which they identify.
Transsexual people experience a gender identity that is inconsistent with, or not culturally associated with, their assigned sex and desire to permanently transition to the gender with which they identify, usually seeking medical assistance including hormone replacement therapy and other sex reassignment therapies to help them align their body with their identified sex or gender. Transsexual is a subset of transgender   but some transsexual people reject the label of transgender. Norman Haire reported that in Dora R of Germany began a surgical transition, under the care of Magnus Hirschfeldwhich ended in with a successful genital reassignment surgery.
Some people have a strong and persistent desire to change their bodies to match their gender identities. Before this, patients who were born one sex but wished to be the other had been given therapy so they would accept their sex of birth. Estimates of the numbers of transsexuals in New Zealand suggest that three to 10 people per 1, are male-to-female, and one to three per 1, are female-to-male.
Shannon Bell Gender School "Sex is fucking, everything else is gender" Kate told us on the first day of gender school: a four part, sixteen hour Cross-Gendered Performance Workshop which was part of Buddies in Bad Times Theatre summer school program. Kate is a Buddhist M-to-F transsexual performance artist and gender educator. Kate has been both male and female and now is not one nor the other, but both-and-neither, as indicated in the title of her play The Opposite Sex
Photo by Emerson Ricard. There are two reasons why I do not top : One, topping takes a lot of effort, and I prefer not to work up a sweat. If I were to leave the bottom, I would be moving away from the sexual expectation to which straight cis women are held: to be penetrated.
Historically, studies assumed that transgender sexuality might be distinct from traditional human sexuality. For much of the 20th century, what was described as "transsexualism" was believed to be sexual in nature,   and so was defined along these terms. Like other people, transgender people exhibit the full range of possible sexual orientations and interests,  including the potential for a lack of sexual attraction.
Individuals are considered to be transgender if their gender identity does not align with the sex they were assigned at birth. Not all individuals choose to medically or surgically transition. However, those who do may face a dilemma: what do they do if they want to have children later in life?