I really wish I knew the answer to this question, It's been on my mind 24/7 for the last 60 years. There has never been a nanosecond that has passed by my consciousness that I have not asked my self what the hell is going on. since I can remember at age 4 I've so deeply desired to be a female, you can say it's been an eternal flame consuming my soul. I've cried my heart out all my life asking God what the h--- is going on. I remember one crazy night I was practicing make up and trying on this pretty dress I had bought. this was about 20 years ago and I was thinking of GRS and asking God if I'd be able to function after the surgery and at the same time I thought about it there was a bright lightning flash and thunder, it was storming outside, I took it as a sign that God was on my side. I've talked this out with my therapist so much, but the only conclusion we've come up with is that my brain for whatever reason is wired this way. I've tried hard to deny , but I can't . I spent quite a number of years refusing to allow myself to think about it , but the end result was thoughts of depression and suicide.