The orignal issue - sex change before adulthood - with greater awareness that emotional gender identification is sometimes at odds with physical presentation means this disparity can be acknowledged by parents and doctors earlier in life. It becomes more difficult to dismiss the girlchild who believes they ought to be male as "just a tomboy" & a stage to be outgrown. Puberty hits earlier in each generation & making the physical (surgical, hormonal) transition early is better for the trans person in the long run. The physical presentation then more is likely to be "passing" as cisgender, and unlikely to upset people who are examining the features of others sharing the same public facilities.

Being trans isnt a choice, but what to do about it, is. The wish that comes up again and again is to be just another person, "as I am" A lovely wee girl I enjoyed watching grow up has become an interesting college guy, and the pleasure I take in their company, or the things we talk about have not changed - same person. What HAS changed is that they are happier, more self confident, more open to parents, less unsettled, less shamed.

I'm all for not sharing a public lav with "creepy creeps" but I have yet to meet a transexual who fits that.

Joanne in Cleveland