The biological fact is that no one can change from one gender to another except in appearance. At most centres there is little or no "counselling", only the forcing of already suffering people through an irrelevant and prolonged obstacle course by psychiatrists or psychologists with no experience of the condition themselves, little training about it, and some weird theories. These organisations have sent out mission statements to insurance companies in their countries to recognise Transgender as a medical condition. Deliberate lies to patients, and poor hormonal prescribing so that results are disappointing, are common. Exhausted from crying, I walked to the kitchen, picked some pills and sat on the floor. For example, private, individual hospital rooms are far more suitable for sex reassignment surgery patients, providing complete privacy for the questions, discussions, and treatments of an utterly intimate nature, providing greater protection from infections which can be disastrous following genital micro-surgery , for quiet during the days of discomfort and confinement to bed, private telephones to enable communications with friends and families at what is a crucial point in patient's lives, and televisions to help with the passing of the 7 or so days confined to bed. Once the psychiatrist is happy that the patient is mentally prepared and physically fit, sex-change procedures can begin. My family kept referring to me as a boy but my brain kept insisting that I was a girl. Although good counselling might help some transsexual people overcome the results of experiencing years of prejudice, pain and loss of childhoods, families, the ability to reproduce , or cope with the misdirected supposed psychiatry, and long delays in treatment, in fact there is little counselling available. Meanwhile, my brain naturally moved me to walk gently, choose softer catch phrases, and gesture frequently as women often do. In my mind, my family would be so ashamed if they found out. But I had suffered in secret for most of my life from the desire to be female. Laws were promised to allow new birth certificates, privacy and marriage, amongst other reforms, for example of the law on rape. Genital Transplant Patient To Become Father Like other people, Transgender individuals can identify their sexual orientation as heterosexual or homosexual or bisexual. It's an incredible thing to have to deal with and, not surprisingly Nick is terrified about it.