First off let me state that I am a big advocate of disassociating transsexual from transgender. I think associating a medical condition with a political identity is problematic, especially when many people with that treatable medical condition want no part of that political identity. Intersex was never a part of transgender, so don't make that association either.
Also let me put it that transition is not a lifelong thing. For many of us it has an end point. I don't buy so much into the stealth philosophy as I do the assimiliationist philosophy. I am not intentionally trying to go stealth and break off all links to my past, people in my life do know, but its not the end of the world that they know. Then again, as I stated earlier, I experience things differently because I was born intersex. Assimiliation was rather easy for me after a certian point and transition did have an end point. People don't question it so much with me...more I get, oh it makes sense, you were born intersex. Am I out and open, no, you have to know me pretty well to know I am intersex and have transitioned. I believe that one has to choose how they create a balance in thier life with being open and not being open. To me this has less to do with discrimintation and more to do with personal choice. I should note, I am in social circles and communities were being transsexual is no big deal, advantage of big city subculture.
I never had much involvement in the trans community save for early on in my transition. Even early on in my transition, it was pretty clear I would have to do this alone. If it was not for a GLBT clinic, and a blood test that was a bit more comprehensive, I probably would not have known the exact nature of my intersex condition. I knew I was intersex...I was born with atypical genitials, and yes, I had scars to prove it. So I am not necessarily critical of the LGBT medical structure, if anything I am an advocate.
I have made this perfectly clear. Somebody who is transsexual, and does not identify as transgender, is not transgender. Don't call them transgender, it is well...offensive. Transgender is a political identity, transsexual is a medical condition. If somebody does not identify with the political identity,they are not transgender. Also realize alot of folks do believe transition does have an end, its a valid point. Don't keep suggesting it doesn't to these folks, its annoying and invalidates thier experience.