When something is looking out of norm, it attracts attention and scrutiny. But people judge by a complex of factors, not by only one or two. So, if the evaluation in the end comes more into female favor, you pass.
Let’s say your height, shoulders, size of your feet, would always make you more visible. But what if they are balanced by feminine voice, face, hair, presentation, manners, female curves? These characteristics are totally achievable with time, money, training and medical intervention.
So, passing (most of the time, to the acceptable level of female presentation) is achievable to everyone. The question is if you have desire and resources to get there.
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