I live and work in high population areas, most local people wouldn't know me from a bar of soap. I look substantially different when I'm in girl mode compared to guy mode...so no, not an issue for me. I could walk into a shop on two consecutive days as two different genders and I doubt anyone would notice. I think in part it's because, as a guy I learned how to blend into the background and "not exist" in a physical space...the less people noticed me the happier I was. That's a different story with being Grace.