What do these labels, ‘transsexual’, ‘transgendered’, ‘trans-women’, ‘gender dysphoria’ & so forth, really mean?  What’s it all about?  

Hormonal feminization is an amazing process, even to my experienced eyes & for the trans-woman when properly executed it can be a transformative experience culminating in inner peace, tranquility & the elimination of gender dysphoria.  

Not all transgender patients undergo gender reassignment surgery (GRS) but for those who do so there are many challenges facing them.  GRS is a major crossroads in the trans journey involving two abrupt alterations, one structural, the other both structural & functional.