Transgender Struggles, Self-Identification, and Becoming Who You Are

I am reading more and more about transgender people and their transitioning. It's of interest to me for a few reasons. I've known a friend who did it, and there was a professor at grad school who transitioned. I've always felt that in any change, the before-state is usually sustainable, the after-state is usually sustainable, but it's the transition where all the chaos and pain happen. People who are adversely affected by a poorly managed change usually get hurt in the transition from before to after What I find remarkable is the significant pain and difficulty these people go through voluntarily. Nobody initiates or endures this process on a whim, whether they choose to dress and present differently, or choose a hormonal transition or even a complete surgical change. I think the plumbing doesn't matter. It seems to me the folx must be under great duress to embark on such an adventure of self-identification. And in pursuing self-identification, aren...