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A photographic exhibition at the Hammer Museum, University of California Los Angeles, shows a comparative study between teenage girls and adult male-to-female transsexuals 

Last year, I was nominated for the Stonewall Journalist of the Year award. This seemed fair enough since I write prolifically about sexuality and sexual identity. But I guessed that Stonewall would not dare give me the prize, because a powerful lobby affiliated with the lesbian and gay communities had been hounding me for five years. Six weeks later I, along with a police escort, walked past a huge demonstration of transsexuals and their supporters, shouting "Bindel the Bigot". Despite campaigning against gender discrimination, rape, child abuse and domestic violence for 30 years, I have been labelled a bigot because of a column I wrote in 2004 that questioned whether a sex change would make someone a woman or simply a man without a penis. Subsequently, I was "no platformed" by the National Union of Students Women's Campaign, a privilege previously afforded to fascist groups such as the BNP. As a leading feminist writer, I now find that a number of organisations are too frightened to ask me to speak at public events for fear of protests by transsexual lobbyists. 

The 2004 column was about a Canadian male-to-female transsexual who had taken a rape crisis centre to court over its decision not to invite her to be a counsellor for rape victims. Feminists tend to be critical of traditional gender roles because they benefit men and oppress women. Transsexualism, by its nature, promotes the idea that it is "natural" for boys to play with guns and girls to play with Barbie dolls. The idea that gender roles are biologically determined rather than socially constructed is the antithesis of feminism. 

I wrote: "Those who ‘transition' seem to become stereotypical in their appearance — f**k-me shoes and birds' nest hair for the boys; beards, muscles and tattoos for the girls. Think about a world inhabited just by transsexuals. It would look like the set of Grease."

Gender dysphoria (GD) was invented in the 1950s by reactionary male psychiatrists in an era when men were men and women were doormats. It is a term used to describe someone who feels strongly that they should belong to the opposite sex and that they were born in the wrong body. GD has no proven genetic or physiological basis. 

A review for the Guardian in 2005 of more than 100 international medical studies of post-operative transsexuals by the University of Birmingham's Aggressive Research Intelligence Facility found no robust scientific evidence that gender reassignment surgery was clinically effective. It warned that the results of many gender reassignment studies were unsound because researchers lost track of more than half of the participants. 

The past decade has seen an increase in the number of people diagnosed as transsexual. There are now 1,500-1,600 new referrals a year to one of the handful of gender identity clinics in Britain. About 1,200 receive treatment on the NHS with the rest going private, Thailand being the main country of choice. The largest clinic, at Charing Cross Hospital in London, saw 780 new referrals last year. The NHS carried out some 150 operations in the last year (up from about  100 in 2005-2006). Apart from Thailand, the country with the highest number of sex-change operations is Iran where, homosexuality is illegal and punishable by death. When sex-change surgery is performed on gay men, they become, in the eyes of the gender defenders, heterosexual women. Transsexual surgery becomes modern-day aversion therapy for gays and lesbians. 

In the West, however, supporting the diagnosis and availability of surgical intervention is seen as a view right-thinking liberals should adopt. But no oppressed group ever insisted its emotional distress was the sole basis for the establishment of a right. Indeed, transsexuals, along with those seeking IVF and cosmetic surgery, are using the NHS for the pursuit of happiness not health. 

Treatment is brutal and the results far from perfect. Male-to-female surgery involves removal of the penis and scrotum and the construction of a "vagina" using the skin from the phallus, breast implants inserted and the trachea shaved. Painful laser treatment to remove hair in the beard area and elsewhere and cosmetic surgery to "feminise" the face is increasingly common. 

For female-to-male surgery, breasts, womb and ovaries are removed. Testosterone injections, usually prescribed shortly after the initial diagnosis, result in the growth of facial hair and deepening of the voice. 

Recent legislation (the Gender Recognition Act, which allows people to change sex and be issued with a new birth certificate) will have a profoundly negative effect on the human rights of women and children. Since 2004, it has been possible for those diagnosed with GD to be assigned the sex of their choice, providing that the person has lived as the opposite sex for two years, has no plans to change back again and can provide evidence of the above. 

It is not necessary to have undergone hormone treatment or surgery. In other words, a pre-operative man could apply for a job in a women — only rape counselling service and, if refused on grounds of his sex, could take the employer to court on the grounds that "he" is legally a "she". 

A definition of transsexualism used by a number of transsexual rights organisations reads:

Students who are gender non-conforming are those whose gender expression (or outward appearance) does not follow traditional gender roles: "feminine boys," "masculine girls" and students who are androgynous, for example. It can also include students who look the way boys and girls are expected to look but participate in activities that are gender nonconforming, like a boy who does ballet. The term "transgender youth" can be used as an umbrella term for all students whose gender identity is different from the sex they were assigned at birth and/or whose gender expression is non-stereotypical. 

According to this definition, a girl who plays football is trans-sexual.

A number of transsexuals are beginning to admit that opting for surgery ruined their lives. "I was a messed-up young gay man," says Claudia McClean, a male-to-female transsexual who opted for surgery 20 years ago. "If I had been offered an alternative to a sex change, I would have jumped at the chance." A number of transsexuals I have spoken to tell me how easy it is to be referred for surgery if they trot out a cliche such as, "I felt trapped in the wrong body."

Transsexualism is becoming so normalised that increasing numbers of children are being referred to clinics by their parents. Recently, an 18-month-old baby in Denmark was diagnosed as suffering from GD. Last summer, a primary school headteacher held an assembly to explain that a nine-year-old boy would return as a girl. 

Ten years ago, there were an average of six child and adolescent referrals per year in Britain, but in 2008 numbers had increased six-fold. Although the minimum age for sex-change surgery is 18, puberty-blocking hormones can be prescribed to those as young as 16, and transsexual rights lobbyists want that age to be reduced to 13. 

James Bellringer is a surgeon at Charing Cross Hospital, which has the largest gender identity clinic in the UK. He believes that children should be allowed to self-diagnose as GD. "It is not the doctors saying, ‘You are a transsexual, let's get you on hormones,' it is the children saying, ‘I don't like my breasts, I feel like a girl'." 

There is, however, a dispute within the medical profession about whether puberty-blockers should be prescribed. Some doctors say that children need to experience puberty to know whether they are misplaced in their bodies. I would describe preventing puberty as a modern form of child abuse. Two-thirds of those claiming to be, or diagnosed as, transsexual during childhood become lesbian or gay in later life. "I would be happy living now as a gay man, comfortable in the body I was born with," says McClean. "The prejudice against me for being an effeminate boy who fancied other boys was too much to bear. Changing sex meant I could be normal."

Medical science cannot turn a biological male into a biological female — it can only alter the appearance of body parts. A trans-sexual "woman" will always be a biological male. A male-to-female transsexual serving a prison sentence for manslaughter and rape won the right to be relocated to a women's jail. Her lawyers argued that her rights were being violated by being unable to live in her role as a woman in a men's jail. Large numbers of female prisoners have experienced childhood abuse and rape and will fail to appreciate the reasons behind a biological man living among them, particularly one who still has the penis with which he raped a woman. (Some transsexuals choose to retain their genitals.) 

There is a handful of radicals in the world today who have dared to challenge the diagnosis of transsexualism. Those who do are called "transphobic" and treated with staggering vitriol. There is a form of cultural relativism at play here. Defenders of female genital mutilation or forced marriage often use the argument that such practices can be justified within certain communities (i.e. non-Western cultures), despite the fact that they serve to dehumanise women, because it is the "truth" of that particular community. After I had been shortlisted for the Stonewall award, scores of blogs and message boards filled with a call to arms against me. 

On one, "Genocide and Julie Bindel", a poster wrote, "What would Stonewall's reaction have been had a BME [black and minority ethnic] group nominated Ayatollah Khomeini as Politician of the Year? She is an active oppressor of trans people. I hope she dies an agonising and premature death of cancer in the very near future. It would make the world a better place."

I had some support, some from those who had also experienced a transsexual-led witchhunt. I heard from post-operative trans-sexuals who had been railroaded into surgery and now regretted it. "Do not publish my name," said one, "but if anyone questions the validity of sex-change treatment you are sent to Coventry by the ‘community' elders." 

A police officer who, during the course of his duty, was unfairly accused by transsexuals of "transphobia" was driven to a breakdown by their vicious campaign. An eminent medical ethicist who had dared to defend a fellow professional who had questioned the diagnosis of GD from a scientific point of view almost lost his career and reputation. And several women from feminist organisations have been bullied and vilified for challenging the "right" of male-to-female transsexuals to work in women-only organisations. 

Dr Caillean McMahon, a US-based forensic psychiatrist, defines herself not as a transsexual but as a "woman of operative history. The trans community has an unforgiving global sort of condemnation towards critical outsiders. I have to be suspicious that the insistence of many of those demanding to enter it is not for the purpose of celebrating the spirit and nature of women, but to seek an enforced validation, extracted by force in a legal or political manner." With the normalisation of transsexual surgery comes an acceptance of other forms of surgery to correct a mental disorder. In 2000, Russell Reid, a psychiatrist who has diagnosed hundreds of people with GD, was involved in controversy over the condition known as Body Dysmorphic Disorder (BDD), where sufferers can experience a desperate urge to rid themselves of a limb. Reid referred two BDD patients to a surgeon for leg amputations. "When I first heard of people wanting amputations, it seemed bizarre in the extreme," he said in a TV documentary. "But then I thought, ‘I see transsexuals and they want healthy parts of their body removed in order to adjust to their idealised body image,' and so I think that was the connection for me. I saw that people wanted to have their limbs off with equally as much degree of obsession and need."

In a world where equality between men and women was reality, transsexualism would not exist. The diagnosis of GD needs to be questioned and challenged. We live in a society that, on the whole, respects the human rights of others. Accepting a situation where the surgeon's knife and lifelong hormonal treatment are replacing the acceptance of difference is a scandal. Sex-change surgery is unnecessary mutilation. Using human rights laws to normalise trans-sexualism has resulted in a backward step in the feminist campaign for gender equality. Perhaps we should give up and become men.

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Fancy Nancy
November 9th, 2010
7:11 PM
I thought Julie Bindel was fighting for the deconstruction of gender, which she claims is a social construct. So what is this sudden about-turn? Apparently, transsexuals are not their gender of choice because, in her words: "Medical science cannot turn a biological male into a biological female — it can only alter the appearance of body parts. A trans-sexual "woman" will always be a biological male. " So gender is determined by your genitals and it's not a social construct after all? All those years of second-wave feminism where for nought?

some gay guy
November 5th, 2010
12:11 AM
It's your body and your life to lead as you please. If you are biologically male and you want to have your penis and testicles removed, take female hormones, and live as a woman, it's none of my business. Ditto for biologically female - if you want to have your female "plumbing" removed, take male hormones, and live as a man, that, too, is none of my business. I can't I understand gender dysphoria, but I'm sure I would understand it better if I suffered from it. Your choices should not be limited. If you want to live pre-op and assume the opposite gender's appearance, do it. If you want to live post-op and assume the opposite gender's appearance, do it. I read an interesting article by a man with prostate cancer. He said that testosterone causes prostate cancer to grow faster, so they pumped him full of female hormones to counter the testosterone. He said it was only then that he discovered himself behaving in ways that he had previously associated with females. This led him to believe that some female behaviors are biological and not just the result of socialization. I found this very interesting and informative. I had always assumed that gender was entirely socialized - men were brought up to be tough, macho, competitive. Women were raised to like dolls, wear makeup, be (broadly speaking) less aggressive, etc. Yet, that doesn't explain "flamers" (very effeminate gay men), nor does it explain butch lesbians. While there are gay men who play and enjoy sports, most of the gay men I know were never good at sports and are not as "ultra-butch" as some straight men seem to be. While there are "lipstick" lesbians,we have all seen "butch" lesbians too and in my limited experience with lesbians, it appears to me that butch lesbians outnumber "lipstick lesbians", just as less butch gay men seem to generally outnumber the macho gay man. Genetics and hormones could explain much of these things about transgender/gay/lesbian people.

confidence
October 15th, 2010
11:10 PM
@ Anonymous: "I guess you would understand if you were born in a wrong body, I felt the need to be a girl, drooled over my sisters dresses and jewelery at a time i never knew the difference between a male and a female." So what? Plenty of biological boys like dresses and jewellery. How does this make their body "wrong"? Again this goes precisely to the heart of the article. There is an insane reversal of priorities here that elevates a piece of arbitrary social conditioning (the idea that dresses go with girls, not boys) to the status of inalienable natural "fact", while judging the actual natural reality of the body as "wrong" because it doesn't concord with that conditioning. This is so back-to-front it's grotesque, and I'm glad someone like Julie is brave enough to point out the fact.

confidence
October 15th, 2010
10:10 PM
So many people seem to have entirely missed the point of this excellent and much needed article. @ Mike Smith: "It's amazing that you ignore data and history predating the 1950's. There are a multitude of examples predating modern culture, in which biological men lived in female gender roles and were accepted by society. Back then, there were no options for medical interventions, so there was no allignment of the body with the mind." er... that's exactly the point. Julie is arguing FOR the rights of biological men to live in whatever "gender role" suits them. And that if we truly believe this is OK, and they are under no obligation to conform to social sterotypes, then there is no reason to alter their bodies to suit those stereotypes. This is the irony at the heart of so much of this issue. The accepted consensus pretends that it is defending the rights of trans people against stereotyping and conformity, but what it is actually doing is promoting stereotyping and conformity by reducing gender to a simple binary choice, and telling anyone who isn't happy with one end of that binary to flip right over to the other end. To the point of changing their bodies to force them to fit that end as closely as possible. This is exacerbating the exact false dichotomy that it pretends to address. If we accept that it's simply OK for a boy/man, regardless of whether he is gay or straight, to indulge in whatever combination of harmless pastimes and preferences he likes - including wearing trousers AND/OR dresses, playing with toy soldiers AND/OR dolls etc. etc. - then both the desire to stereotype him as a man AND the desire to change his body so we can stereotype him as a woman instead become irrelevant. The prevailing mentality surrounding transsexuality runs counter to everything that generations of feminists have worked for: that gender roles are false caricatures imposed on people by society. And that people should be free, and encouraged, to just be whoever they happen to be, with whatever combinations of psychological and physical traits they happen to have - not to think they have to "choose" between one caricature and the other.

James
October 8th, 2010
5:10 PM
Ms Bindel: my partner and i (who are criss-crossing in our transitions) find you narrow and to be a resounding bigot. i will however compliment you on your talent at falsehood: you make yourself sound like an expert, like you've researched this for years and know the subject intimately well, when in fact the opposite is true. you are a misrepresenter, and you exemplify every reason that trans people hide and are fearful of society. you seem bright, it's a shame you have chosen not to apply that intelligence to a more noble and tolerant stance. i am sad for you. james

Anonymous
September 28th, 2010
6:09 PM
I guess you would understand if you were born in a wrong body, I felt the need to be a girl, drooled over my sisters dresses and jewelery at a time i never knew the difference between a male and a female

Skye
August 7th, 2010
3:08 AM
These sort of views are not only bigoted, but they usurp the name of the feminist movement to defend their bigotry. I'm reminded of the words of Janice Raymond who attempted to espouse a view that posited the mere existence of male-to-female transsexuals to be equivalent to rape. That by merely being inflicted with emotions we cannot control nor desire to have, we are somehow raping women. Time and time again therapy techniques attempting to rid people of Gender Dysphoria (the primary negative symptom of GID/HBD) through therapy alone, and all have failed. Transition technology was invented because the efforts of the psychology community to do something about the horrible experience of transsexualism otherwise were a complete and total failure. As they failed to turn homosexuals straight, so did they fail to turn transsexuals into cissexuals. I have sufferred from Gender Dysphoria for my whole life, the first clear memories I have of the feeling are from when I was 5 years old, prior to ever having any notion of sexuality. My gender identity has nothing to do with my sexuality, despite the fact that the ignorant, like Ms. Bindel, attempt to conflate the two. My first suicide attempt was when I was 11 years old, and it was directly related to my gender dysphoria. What people like Ms. Bindel would prefer is that the only viable treatment for Gender Identity Disorder be eradicated - why? I cannot say, but it seems to me to be a desire for genocide, considering the non-op and pre-op suicide rates of transsexuals are estimated to be 50%-75%. As I am simply now babbling on and losing the cohesion of my train of though, I will end in pointing out the fact if transsexuality were simply a means to bypass the horrors of gender inequality, as Bindel suggests, then male-to-female transsexuals, like myself, would not exist. There is absolutely nothing I enjoy about being treated as if my opinion is not worth anything simply because I am a woman, as well, there is absolutely nothing I enjoy about being judged as a person based on my sexual appeal to men. If I did not have gender dysphoria, I most certainly would have absolutely no interest in losing male privilege, and would most certainly not transition.

Pippa
June 9th, 2010
9:06 AM
Whose feminism is this? In this article, Bindel fails entirely to move beyond the anti-trans-hyperbole-masquerading-as-radical-liberationary-feminist-politics espoused by Janice Raymond, Mary Daly et al. (the "handful of radicals" who "dared to challenge GD") in the 70s. She has also failed entirely to engage, in any meaningful way, with the telling critiques from trans writers of the ideas of these "radicals" - such as those of Jay Prosser, Sandy Stone, Kate Bornstein and Julia Serano. As a trans-person, I'm very wary of slipping into any stereotypes either side of the divide. I want to avoid stereotypical notions of femininity because I recognise they can be just as disaffirming and damaging as the notions of masculinity into which I was shoehorned whilst growing up. Yet Bindel insists that "Transsexualism, by its nature, promotes the idea that it is "natural" for boys to play with guns and girls to play with Barbie dolls." What about those of us who play with neither guns nor Barbie dolls? Where to trans people like me (remember, trans- is a prefix that implies in-betweenness, journey, not a leap between extremes) fit into Bindel's epistemology? Moreover, she calls the trans rights movement a "powerful lobby", but that only demonstrates the witch-hunt mentality many so-called "radical feminists" engage in when it comes to trans people. Powerful lobbies are those that have millions of pounds worth of backing and powerful political influence. This can hardly be said of trans rights groups... yet. Why waste time attacking an already marginalised group when you could use your efforts - as, to Bindel's credit, she has done in the past - to fight against the genuinely damaging lobbying power of multinationals, anti-immigrant and anti-gay rights media, the religious right etc? Anyhow, onwards: "Gender dysphoria (GD) was invented in the 1950s by reactionary male psychiatrists in an era when men were men and women were doormats." Care to mention the history of cross-gendered identifications in pre-patriarchal soccieties, such as the Berdaches in Native American communities? No? Thought not - it doesn't fit with the stereotype about trans people this article is projecting. Indeed, the fact that such people existed more or less freely (and, to be fair, without the medicalised aspect) before the onset of patriarchal capitalism suggests that trans can be a powerful ally in the fight against patriarchal forms of domination. But hey, demonise away. Divide yourself from potential allies. Say controversial stuff for the sake of being controversial. That's a far more positive and powerful message. Final critical point. Bindel says this: "A definition of transsexualism used by a number of transsexual rights organisations reads: Students who are gender non-conforming are those whose gender expression (or outward appearance) does not follow traditional gender roles: "feminine boys," "masculine girls" and students who are androgynous, for example. It can also include students who look the way boys and girls are expected to look but participate in activities that are gender nonconforming, like a boy who does ballet. The term "transgender youth" can be used as an umbrella term for all students whose gender identity is different from the sex they were assigned at birth and/or whose gender expression is non-stereotypical. According to this definition, a girl who plays football is trans-sexual." ...Only this just isn't true. It's talking about "students who are non gender-conforming" or "transgendered", nowhere in the definition does it mention "trans-sexual". Or does Bindel genuinely think trans-advocacy groups are so stupid that the moment a girl/woman kicks a ball, she becomes trans? Get a bleeding grip! "Biology is not destiny" - that's a key feminist insight, as Bindel herself says. But to validate this article, she needs to add the qualifier: "unless, of course, you're trans". Very disappointing indeed.

R1.0
June 5th, 2010
2:06 PM
On one level, this article is extremely funny. So Julie failed to win an award - hardly the best place to start if you want to come across as unbiased. It reads like a Hollywood startlet throwing the blame around for not getting an Oscar, while demonstrating the behaviour that made her lose it in the first place. On another level, it's deeply sad. I was particularly moved by the comment from a parent of a transsexual child who said simply 'Shame on you'. I imagine what what personal experiences they have, what soul-searching and research they have done, all to be dismissed by a supposed expert on human rights. Bindel would deny the rights of others simply because she thinks they conflict with her vision of a feminist paradise. It's logically ridiculous to suggest that a few militant activists are proof that transsexuals are deluded. Every movement for equality, unfortunately, tends to attract militants at first. Bindel should know this. While respecting the work that Bindel and others do, they have to be treated with caution because in the end those who subscibe to an 'ism' (feminism, Marxism et al) are primed to show loyalty to the theory rather than adapt their worldview to accept those inconvenient people who don't fit into it. The assertion that "in a world where equality between men and women was reality, transsexualism would not exist" is interesting. She seems to think that transsexuals reinforce the division of people into male or female roles, because some behave in a stereotypical way. The comments thread here alone disproves this, because you have male to female transsexuals who are mechanics, female to male effeminate geeks, etc. And if you have some butch men and feminine women among them, so what? Everyone is different. If some replies to her essay seem rambling, that's because people feel impelled to write their own essay in response, because their entire existence - and years of their own quest for knowledge on the subject - has been called into question. There is growing acceptance that some people have either a male or female consciousness (or mind, or brain, whatever you want to call it) with a body that does not correspond to that identity. The scientific understanding of brain development/consciousness is incomplete, but developing - there are, as I understand it, studies being carried out in this area. So for now, it is, in effect, a largely self-diagnosed condition. Really, we're in a position where the studies are in their infancy and the condition is more self diagnosed than would be desireable - depressed people might read too much about the condition and think they have it, someone might be more satisfied being androgynous and regret full transition, or they might live in a country that oppresses homosexuals but not transsexuals. Of course there are going to be mistakes, and surgery is risky. But Bindel's article misses the point. Surely the fact that so many 'cures' are successful even in these conditions is a positive indicator that transsexuals exist. I admit my bias: I have a female body but have always identified as male, and knew this a long time before I read anything about it. And I grew up in a tolerant, relaxed household where no one was forcing me to play with barbies instead of model aeroplanes. I am primarily attracted to males, but I should think the concept of a gay male transsexual is a little too advanced for Bindel. One step at a time. I'm mostly a happy soul, but it's frustrating to be told that you don't exist - imagine having chronic backache and being told that you're lying, that there's no evidence, that it's your imagination. Fate has played a joke on me because I'm sure if I was looking at my condition from the outside, I would probably be confused or closed-minded about it, at least at first. One has to be positive about these things, and being this way has made me more tolerant, more open-minded - to listen to people and understand THEM, the individual, not as some unit that should fit into society in a certain way. Bindel says people should accept difference. If people could accept that I AM male (the part of me that thinks, feels, falls in love, reasons - in other words, my consciousness), that would be a relief in itself. Now there's a potential cure (or a move towards it) that doesn't involve surgery. It would mean that any medical treatment then becomes purely personal, rather than being dangerously loaded with the 'proof' society needs to say that I am male. And Julie, I will happily fight for women's rights alongside you. I'm just not a woman. Perhaps widespread acceptance is not too far away, and I'll feel the same mix of relief and sadness, I suppose, that a closeted homosexual would have felt after the laws changed to classify homosexuality as no longer being a mental disorder or a crime, and they realise that much of their life has been wasted deferring to those who thought they knew best.

shiveringflower
May 16th, 2010
9:05 AM
What an ignorant and ill researched article.Have you never heard of brain difference?The structures of the brain responsible for gender identity are the same shape and size and undergo the same amount of activity as those of chromosomal females-and totally different to those of chromosomal males. This happens at about 6 weeks of gestation,when the male brain does not recieve a vital and normal testosterone release.It is this testosterone release that is responsible for the shaping of this structure,without it this section of the brain develops as female. It does not take much imagination to realise that this would sit very badly with religous types,as it clearly indicates that the female brain is an older structure than that of the male. Interestingly,homosexual men have normal male brain structures. In ancient times many societies recognised and were accepting of people who today would be called transsexual. Some Native American tribes had a special saddle designed to destroy the function of the testes. Another example of acceptance amongst Native Americans can be seen in the film Little Big Man. This is typical of the hostility from homosexuals and feminists.Believe me I do not want to be assosciated with homosexuals,it is the fate of many transsexuals to be called queer or faggot-clearly showing that it is this that the bigots find disgusting,not transsexualism per-se(Although this doesn't apply to bigotted homosexuals and feminists,who are just plain bigotted).It is regretable that we are labelled with a title that includes the word sex. I agree that there is a disturbing increase in the number of unhappy post-operative people.I say "people" rather than "transsexual", because the unhappy ones are clearly not transsexual. Any REPUTABLE study would show that the vast majority of people who go through NHS clinics are happy.(Notwithstanding the convenient loss of data,by those who were commisioned to write a report showing the opposite of this!!!). I wonder how many of these unhappy people went through the "life test" demanded by the NHS?My guess is that most will be the impatient ones who rush off to Thailand (for example).The life test is there for a very good reason. Every transsexual i have spoken to knew from a very early age (5 being about average) what they were(ie a girl),which is why more enlightened countries have adopted the "Dutch Model" of hormone prescription.(This involves a puberty blocking hormone treatment that is fully reversible should the person change their mind when a teenager.) Finally,it is my personal opinion that no pre operative transsexual or transvestite should be issued with a gender recognition certificate.These are given too freely and to too diverse a grouping of people.I am a happily transitioned post operative transsexual woman.(Transitioned since 1985)

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