How rare is it for a transsexual to not take hormone therapy? I'm in the very early stages of this, and I don't know enough about what choices I have. I want to look like woman, but I'm hoping I can do that without hormone therapy, even if it means breast augmentation. This may sound silly, but I just don't like to take pills. I don't even take over-the-counter pain medication unless I absolutely have to! I'm short, about 5'5" or 5'6", soft skin, long eye lashes, pretty hands, and kind of a high tenor voice. In fact, I'm often mistaken for a woman when I talk on the phone. So is it possible for me to do this without hormone therapy? And I mean completely living my life as a woman, 24/7.