Transsexual less commonly transexual  people observation a gender identity that is inconsistent with, or not culturally associated with, their assigned sex Prohibited, and itch to everlastingly transition to the gender with which they relate to, usually seeking medical succour including hormone replacement psychotherapy and other sex reassignment therapies to help them align their body with their identified sex or gender.
Transsexual is a subset of transgender Learned,    but some transsexual people rebuff the term of transgender. Norman Haire reported that in Spelled out,  Dora R of Germany began a surgical transition, at the beck the heedfulness of Magnus Hirschfeld Strict, which ended in with a popular genital reassignment surgery.
In , Hirschfeld supervised the second genital reassignment surgery to be reported in detail in a peer-reviewed journal, that of Lili Elbe of Denmark. In , Hirschfeld introduced the German provisions "Transsexualismus",  after which David Oliver Cauldwell introduced "transsexualism" and "transsexual" to English in and Cauldwell appears to be the fundamental to necessity the designation to refer to those who befitting a hard cash of physiological sex.
transsexuals characterize oneself as that they belong to the other sex, they want to be and function as members of the contrary sex, not only to appear as such. For the sake them, their sex organs, the fundamental testes as well as the provisional penis and others are disgusting deformities that have to be changed by the surgeon's cut.
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