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A transsexual sometimes transexual person establishes a permanent identity with the opposite gender to their assigned sex. Transsexual men and women make or desire to make a transition from their birth sex to that of the opposite sex, with some type of medical alteration gender reassignment therapy to their body. The stereotypical explanation is of a "woman trapped in a man's body" or vice versa , although many members of the transsexual community, as well as some outside the community, reject this formulation. For the exact wording of formal diagnosis , see gender identity disorder. The minimum requirements for a person to be considered transsexual are debated.

Latest Issue. Past Issues. The choices are fraught—and there are no easy answers. Claire is a year-old girl with short auburn hair and a broad smile.

Sun 15 Apr One moment we are in Hawaii and she is living, desperately uncomfortably, as a little boy called Charles. The next she is 10 years old and has created the alter ego Keisha to enable her to talk to boys on the phone.

Please refresh the page and retry. But although Ruby — in a Hello Kitty T-shirt, clutching a doll — looks like any seven-year-old girl, two years ago the same scene would have shown Rudy, a five-year-old boy. But they are adults.