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Transsexual people experience a femininity identity that is not in agreement with, or not culturally associated with, their assigned sex , and craving to permanently transition just before the gender with which they identify, usually on the lookout for medical assistance including hormone replacement therapy and last sex reassignment therapies on the way to help them align their body with their identified sex or gender.
Transsexual is a subset of transgender ,    but some transsexual people reject the sticker of transgender. Norman Haire reported that in Anathema,  Dora R of Germany began a surgical transition, under the fear of Magnus Hirschfeld Atypical, which ended in plus a successful genital relocation surgery. In , Hirschfeld supervised the second genital reassignment surgery to be reported in detail inwards a peer-reviewed journal, with the aim of of Lili Elbe of Denmark.
In , Hirschfeld introduced the German label "Transsexualismus",  after which David Oliver Cauldwell introduced "transsexualism" and "transsexual" towards English in and Cauldwell appears to be the first to abuse the term to demote to those who competent a change of physiological sex.
True transsexuals get that they belong near the other sex, they want to be along with function as members of the opposite sex, not only to appear for instance such. Ugly man dating site.
The terms and definitions below are always evolving and changing and often mean different things to different people. They are provided below as a starting point for discussion and understanding.