Jennapher: Thank you so much, Holly, for providing an opportunity to discuss what it means to be transgender! I think it is very important for genetic females and males to know that only a very small percentage of transgender women undergo Gender Reassignment Surgery. Many chose not to, but the primary reason ends up being financial: GRS in the United States costs approximately $20,000.00, and is generally NOT covered by insurance. It is also helpful to know that GRS represents the final treatment of Gender Dysphoria. In the transgender community, any trans woman who lives as a female 24/7 is considered transitioned. However, the decision to transition, and the steps taken, are usually done under the care of a psychiatrist, and for Hormone Replacement Therapy, an endocrinologist who supports hormone therapy as a suitable course of action. This is certainly not the only way to transition. But I believe a majority of transgender women would agree that, at present, if you have insurance, or the financial resources, this is the most effective path to take. I can't assume everyone knows what gender dysphoria is: it is the unwillingness or inability to identify with the gender of one's biological sex, or confusion over whether one identifies as male or female, or a combination, which can be labeled "gender queer." But this is where it all begins! Sometimes, in the case of Jazz Jennings, for example, the child himself or herself recognizes almost immediately that their biology does not match their gender. Sometimes, however, due to many internal and external factors, it can take Yeats, or decades for someone to realize that, while they were born with XY chromosomes, they identify as XX, or the other way round. One very important point that I, personally, would like to make, is that being a transgender woman DOESN'T mean transitioning into a female model or movie star. It DOES NOT mean conforming to the cultural or societal norms associated with being female. Of course, we try to be as "feminine" as possible. But that covers a very wide spectrum of "femininity." Nothing can change biology, transgender women still have XY chromosomes. That is why we are called transgender women. But, overcoming gender dysphoria, and deciding to transition, under medical supervision, as female, means physically and emotionally identifying as female. It DOES NOT imply that we "feel" like women, it doesn't mean we are adopting a "female" role. We are not drag queens! It does mean that, medically speaking, regardless of our age, we have stopped producing testosterone, and have increased our estrogen level to that of an 18 year-old female. And this results in a number of very significant physical and emotional changes, many of which cannot be reversed. We are not "trying" to be "female." We consider ourselves "female." And I will end on this note, because I am certain there will be a wide and disparate number of opinions expressed about this issue. I think it is incredibly open-minded, tolerant, and supportive for you to have posted thisβ€οΈ
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