OP, I'm like you, except fast forward 20-30 years. I wanted to be Ward Cleaver, I wanted a wife and kids and be the generic "good dad". I have accomplished those things. The whole time, my gender issues have existed. I have anxiety and depression. But, the benefits of achieving my Ward Cleaver goals were worth it.
But, the whole time, I was only partially successful living the man life. I feel odd at times. I tried being a biker, odd. I tried other manly things, odd. And other men seem to know, they can tell something is off. It feels a little forced. Some guys wonder if I'm gay because some effeminate behavior leaks out at times. Normal assumption from straight men.
I know I'm transgendered, but I don't know if I'm transsexual (need surgery). I am in deep fear of it, but I know, if I can learn about myself, I can find a happier place. I don't "have to" get surgery, I don't "have to" give up my family. I've had four therapy sessions so far, and it is scary and helpful at the same time. I think I'll be better off once I know myself better.