Well, being recognized and respected is not quite as bad as being spit on, but it's still a self-esteem crusher.
As estrogen has made my physical skin thinner, my psychological skin has gotten thicker. I really don't give a damn what anyone thinks anymore, or as Dee_pntx so eloquently put it in another thread, "I'm f/t, so wtf?" It's been surprising to me that most people don't even notice and less even care.