To me transgender/transexual is what is between your ears and in your soul, not between your legs. If someone self-identifies as transgender, even pre-everything, who am I to question. That was one of the beautiful aspects that brought me to Susan's, all were accepted. Not everybody can transition, or even begin transition given certain circumstances and finances, if they are suffering with gender dysphoria, or not and just identify as transgender, to me they're transgender.