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A Bridge Too Far: Transition And Corrective Surgery Necessary for TS? Print E-mail
Opinion - Thompson & Gaughan
Lisa Thompson & Sharon Gaughan   
Tuesday, 19 August 2008 16:30
Transition Speedometer.Fairfax, VA, USA. What is a transsexual? Is there such a thing as a non-op transsexual? What is the difference between a non-op transsexual and a full time crossdresser? Are transgender and transsexual just different spellings for the same thing? Why are so many people now saying they are transsexual now?

Why have so many post-ops started using the alternative terms in place of transsexuality in an attempt to clarify their position on the subject?

The answer to these questions and more lay in the column before you. [N1]

We received a thoughtful response to a Global Warnng by Lisa Jain Thompson column by Lisa Thompson called Lisa Jain Thompson: Global Warning: Roundheads, Know Nothings, and Transgender Post-Modern Fundamentalism. [N2] A visitor posed a well constructed question that deserves a more extended response.

TS-Si.

Misalignment At Birth

refers to the birth condition that misaligns innate neurobiological makeup and external genitalia. In short, transsexuality.

A emerging trend in recent years is for cross-dressing males to avoid the perceived onus of being regarded as transvestites and lay claim to the term transsexual.

The term transsexual has even been appropriated by males and loosely applied to include just about anyone who presents with limited hormone usage and/or alternative social presentation.

In an attempt to deploy a new vocabulary that clarifies the difference, some patients and commentators resort to using use terms like Harry Benjamin Syndrome (HBS) and classic (or "true") transsexual, viewing them as more precise than the corrupted use of transsexual.

The Social Purity Canard

Some advocates use rhetoric asserting that people born with the misalignment would never get married or have children. This is claimed as the true form of TS.

This quite vocal position is similar to the 110% lesbian extremists who insist that real lesbians would never allow a penis inside them (thus eliminating well over 50 percent — perhaps as much as 90 percent — of the world's lesbians.

The social purity test does not take in account the real world outside of the major cities and universities, the pressure of parents and family and a child’s desire to please parents, a sense of duty, the personal desire to have children, or the fear of being alone.

Nor does it consider that even twenty years ago, transsexuality (as originally understood) was still talked about in quiet circles and only trotted out for amusement on Donohue and the other talk shows.

Before the internet, there were slim odds of meeting another transsexual (outside of a handful of centers) or finding a knowledgeable and supportive therapist or doctor.

One can only marvel at the persistence and serendipity of the earliest transitioners.

Attempts to impose current political and social conditions on the past is a barren exercise in self-satisfied arrogance.

The key identifying descriptive is the desire to bring our genitalia into conformance with the neurobiological wiring in our brains.

The misalignment discussed here is a birth condition that has been present since the womb, with causes that may extend back to the beginnings of gamete formation and conception.

The True Women Canard

Some Transgender activists charge that TS women claim to be the true women, exhibiting superiority over other people who have not transitioned or do not pursue surgical correction.

Apart from the obvious confusion of sex and gender, and repeated request for evidence, no documentation has been forthcoming to support this claim. This leaves the accused to assume that the charge is an inference from the critics' own emotional states.

The False Conflict Between HBS, Classic, or "True" Transsexuals

The people we often refer to are those whom Harry Benjamin himself described as transsexual. There is an important difference between Dr. Benjamin's very specific use of the term transsexual and the relaxed version used to include transgendered people.

This has led some advocates to signal the difference by using the phrase classic, or true, transsexual.

For us, any of these alternative terms are built on Benjamin's classic transsexual, but avoids sending an invitation to place TS in the context of a spurious gender spectrum.

The semantics that underly these alternatives are the same. The vocabulary terms differ, a reflection of differing tactics.

It is not a principled disagreement.

TS-Si.org articles may use the traditional terminology. If so, we annotate the context and usage as warranted to resolve any ambiguities that could affect interpretation.

— LJT & SSG
Do you at TS-SI feel that it is necessary that all who are Transsexual must transition to find fulfillment in life?

Isn't it possible that for some transitioning just is not something they feel they can do? For some the price of transitioning may be a price that they cannot pay for reasons of their own, reasons that they may or may not share with anyone.

If transitioning is not an option they feel they can take are they any less TS?

The classical definition of Transsexuality, as set forth by Dr. Harry Benjamin, applies to a person born with an incongruity between the inward sexual identity in the brain and the visible, apparent physical sex of the body. There is a mismatch within a person’s neurobiology that occurs within the womb prior to birth: the brain is one sex, the rest of the body, the other.

Many (but not all) of those born transsexual recognize the incongruity by the age of three or four, most before they are ten. People born transsexual are driven to bring their bodies into conformance with who they really are. In modern times, this overriding need leads to hormone therapy and Sex Reassignment Surgery (SRS).

This is the classical, limited definition of Transsexuality as well as the specific definition intended when experimenting with such other terms as Classic Transsexual or Harry Benjamin Syndrome (HBS).

However, there are real obstacles, quite legitimate, that may slow down or prevent a person from obtaining SRS:
  • Good Health, obviously, is a key factor in obtaining SRS. A person has to be well enough to survive surgery. Various diseases can make surgery dangerous and may recommend against SRS. Not all physical conditions offered as a rational for not obtaining surgery present a permanent obstacle (e.g., if you are overweight, lose the weight) and can be overcome by a TS man or woman.

    Doctors warned Sharon that in light of her medical history, she should not transition at all. She was counseled against taking hormones and surgery was not considered a realistic possibility. The known indicators suggested she would die. She did (transition) and didn't (die).

  • There may be psychological problems that should be resolved before a person begins transition. SRS corrects the physical incongruity present at birth; surgery does not magically solve all of life’s problems.

    If someone has a problem with authority before surgery, they most likely have a problem with authority after surgery.

  • Lack of money may slow the progress of an TS man or woman from obtaining SRS, but that does not mean that a person born with classical transsexuality ever stops working towards ultimately obtaining surgery (even if twenty years down the road). To a person in this situation, forgoing surgery simply because the road may be difficult is not an option. The surgery costs a lot, but then so does a house.

    If a person needs more money, they should try to get a better job, or get a second job or a third.

  • Before transsexuality became more accepted and treatment more widely available, many, if not most people born with it struggled to conform to the expectations of parents, church, and society.

    Many of them got married and had children, hoping their birth condition would go away (or at least be less pressing). Many still do. [cf. Sidebar]

    When a person brings a child into the world, they commit to raising that child to adulthood. Parents who accept their responsibilities and delay transitioning and surgery are not uncommon. Raising a family is a legitimate reason for not having surgery --- but the need never goes away and, after the children are raised, a person born with the condition, all other things being equal, once again starts moving towards surgery.

So our answer to the question, of whether it is necessary for all those born with trannseuality to transition and obtain surgery, is yes. The above considerations are not exceptions, merely influences on the timeline. The second part of the question, whether they will find fulfillment in life is independent of their being TS, we don’t know. As we said, there is nothing magical about SRS.

That a person believes that transitioning is not something they feel they can do, that the price of transitioning is a price they cannot pay, suggests that that person was not born with TS in the first place. Not everyone is. In fact, few people are.

Although identifying as transsexual may bring a person psychological comfort and provide a self-diagnosis that is acceptable to family and friends, such identification does not mean the person was actually transsexual-born. TS men and women are driven to bring their bodies into conformance with who they really are. If none of the considerations apply, the person is not transsexual.

Not transitioning or not working towards obtaining surgery is not an option for those born with TS. There are no Transsexual Non-Ops, only those who are pre-op and moving towards surgery or those who are post-op. For those truly transsexual, the alternatives to transition and SRS include death, or insanity, or both. Death comes through careless living, such as alcohol or drugs, but eventually death will come. Unforunately, for some of us the clock runs out and we die before surgery.

In the recent past the term transsexual has been subsumed by the Transgender movement and broadened to include a wide range of people who do not fit Dr. Benjamin’s definition of classic transsexuality. To much of the media and many politicians, transgender and transsexual are now synonyms.

Although confusing, this blurring and social democratizing of the transsexual definition allows a great number of people who might earlier have been called crossdressers, or transgender, or even transvestite, to identify as non-op transsexuals. This terminology bloat leads inevitably to the question:
How do you tell the difference between a non-op transsexual and a full time crossdresser?

Given the increasingly popular but impossibly broad definition of transsexuality, to the impartial observer, the only discernible difference is that one self identifies non-op transsexual. The observer would be hard pressed to find scientific or medical distinction between a non-op transsexual and a full time crossdresser, especially if both parties claim to be a pre-op.

In the rush to self-justification, transgenders often claim legitimacy on their terms.

More and more people prefer to call themselves a transsexual or a transgender than a crossdresser (which still invokes some societal approbation). Fine. There is nothing inherently wrong with anyone being transgender
as long as their condition is not confused with transsexuality.

So, back to the answer to the original question: no, there is nothing wrong with a person self-identifying within the much broadened definition of non-op social transsexuality. If it makes them feel better, we are happy for them. Transgenders, crossdressers, and non-op social transsexuals should have every opportunity to pursue what ever brings them happiness.

But, although it has been said many times, many ways, a non-op social transsexual
  • was not born transsexual;
  • is not a transsexual man or woman.

Notes[N1] Ths column uses the term transsexual to be consistent with the crossover context and usage in the original comment and request for clarification. Please refer to the sidebar for additional discussion on this point.

[N2] Lisa Jain Thompson: Global Warning: Roundheads, Know Nothings, and Transgender Post-Modern Fundamentalism Lisa Jain Thompson. TS-Si.org (16 August 2008).

Ms. Lisa Jain ThompsonMs. Lisa Jain Thompson is a Co-Founder & Principal of TS-Si. She also serves as a Contributing Editor and columnist for the TS-Si website. She maintains another site, StarPoet.com, for her poetry and literary works.

Ms. Thompson's signed articles contain her own opinions and do not necessarily convey an official position of TS-Si, its partners, or affiliates. Lisa welcomes your comments. Use the form below or email via her TS-Si Contact Page. We will not divulge any personal details or place you on a mailing list without your permission.

Sharon Gaughan.Ms. Sharon Gaughan is a Co-Founder, Principal, and Managing Editor of TS-Si. She also is a columnist for the TS-Si website. Sharon's signed articles contain her own opinions and do not necessarily convey an official position of TS-Si, its partners, or affiliates.

Sharon welcomes your comments. You can reach her via the public form below, her TS-Si Contact Page, or on Facebook (Sharon Sinead Gaughan).

TS-Si News Service.The TS-Si News Service is a collaborative effort by TS-Si.org editors, contributors, and corresponding institutions. The sources can include the cited individuals and organizations, as well as TS-Si.org staff contributions. Articles and news reports do not necessarily convey official positions of TS-Si, its partners, or affiliates.

We welcome your comments. Use the form below to leave a public comment or send private correspondence via the TS-Si Contact Page. We will not divulge any personal details or place you on a mailing list without your permission.

TS-Si is dedicated to the acceptance, medical treatment, and legal protection of individuals correcting the misalignment of their brains and their anatomical sex, while supporting their transition into society as hormonally reconstituted and surgically corrected citizens.

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