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The past summer brought a new epiphany. McCauley gradually came to the conclusion that her true self was a young woman. She felt trapped in her male body, so in incremental steps she began to remake her appearance to reflect the identity she had embraced.

"When I dress as a girl I feel sexy and powerful," she said. "When I'm a boy I feel really sick and really stern, not like me, not comfortable. It's like I'm trying to put back what was messed with my genes."