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.
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