Transitions: What does 'transgender' entail?
By The Patriot-News
February 28, 2010, 12:00AM

http://www.pennlive.com/specialprojects/index.ssf/2010/02/transitions_what_does_transgen.html

BEFORE THE CHANGE

Not every transgender person wants to change their sex. Some don't want to lose their job or family. Some cannot afford the surgery. For those who do and want their surgery in the United States, there is a long and rigorous process. It's based on ethical standards doctors have developed and updated since the 1970s.

The steps include:

About the only quibble I have with this article is the following:
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"Taking estrogen will increase body fat, breast size and raise the voice."
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While that would be very nice, it doesn't quite work that way. 

QuoteMarital rights: Transgender people have the same marital rights as anybody else. They can marry someone of the opposite sex. In states allowing gay marriage, they can marry someone of their sex. If a couple is married and one or both people transition to the other gender, they can remain married.

This is also not always true.