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There’s “more to this than the clothes”, as you put it, but I don’t feel the need for surgery. Is this common?

If you’ve read this far, you’ll have realised that nothing is black and white. There are degrees of intensity. It’s quite possible for someone to be happy simply cross-living, woman at home, man elsewhere. Someone else may choose to take feminising hormones and live full-time as a woman, but not wish to undergo surgery. Someone else may not be happy until everything is put right: surgery, name and birth certificate corrected and so on.

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