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Dannylee Mitchell received the call on March 8, 2006. It came from Dr. Marci Bowers, telling her she was scheduled for sex reassignment surgery on April 25 in Trinidad, Colo.
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Transitioning also exacts personal and emotional costs.

Dannylee's father doesn't want her calling the house. She gave her mother her phone number when she was in Colorado for the surgery, but her mother didn't call.

"I called my mom on Mother's Day, and she said she wanted to get together," Dannylee says.

She's had no contact with her sister in more than two years. Two weeks ago, she spoke with her brother for the first time in more than 11/2 years and talked with her mother for the first time since Mother's Day.