Zoe raises an interesting point. What if a person simply isn't in a financial position to afford all these techniques, treatments and procedures? How many surgeries do you need to have undergone to be classified as a transsexual? Does the possession of a vagina trump everything else? Say I had a vagina but very little breast development, would that make me a woman, transsexual or transgender? Don't forget natal females from 12 onwards have breasts, breasts are just as integral to women as a vagina is. Perhaps more so as they are much more visible to the general everyday public than vaginas are. Imagine if I had a vagina, breasts, but was too tall for a woman or I had a particularly male face would I be a woman, transsexual or transgender person? Say I had breasts, and passed as female from a physical perspective (i.e. I looked and acted female) but crucially I had no vagina would that make me a woman, a transsexual or a transgender? Or, to labour the point, imagine I was all of the above and I had undergone an orchietectomy(sp?) but still had a penis, would that make me a ... Or, what if I had undergone everything but clumped about like a man, or had masculine mannerisms from years of living in the male role would I be a woman, transsexual or transgender?