You know. Some people spend months in therapy going through gender issues before confirming their transsexualism before starting hormone therapy, perhaps months of electrolysis (MTF), going through the real life test. Some then go on to have SRS and some even have a tracheal shave. Some go through years of rejection, even violence, loss of family, friends, jobs. A real struggle for many of these TS’s. Even to be accepted after the long hard work. Manning writes a letter and become a woman overnight.