Can you tell them apart? They’re both red, round, same size, both fruit…yet they are very different. Should we call them both apples and pretend?
Female and male genitalia as seen from the front; Laverne Cox, star of “Orange is the New Black“; Cait Jenner and I at Camarillo Airport, 2018; me in 2016.

Gender Bias; Sex Bias; Why not be Fair to Both?
How to Take a Neutral Position
What Transsexualism Is
What Transsexualism is Not

Gender Bias; Sex Bias; Why not be Fair to Both?


1. Transgender is needing to change gender.
2. “Transsexual” is transgender with an extra surgery.

That is deeply offensive, says trans person sexualities are either (#1) the same, it’s just that some have an “extra” surgery, or (#2) something that shouldn’t be mentioned. In reality, they’re both real, present and opposite, which is generally the reason transsexuals seek SRS and transgenders don’t.


1. An MTF Transgender is to be a womanly male.
2. Transsexual is a need to be the other sex.

This won’t fly, either, is offensive to transgenders.


1. Transgenderism is about needing to change gender.
2. Transsexualism is about needing to be the other sex.

Reference each by their main issue.

An underlying assumption in the transgender paradigm implies that the need to be the other sex moves with a need to be another gender.

But in fact, this is not usually the case; they move separately, further supporting the idea that sex and gender are two different things. Most people who want to change gender do not also want to be the other sex, prefer sex-and-gender non-binarism, e.g., woman with a penis, a man without one.

Society does not like that, tends to reject that, so transgenders insist on narratives that maneuver around T sex issues, saying they shouldn’t be included even for transsexuals, as the topic once raised can spread. That minimizes or omits people like me (transsexuals) who actually are about needing to be the other sex, the other binary.

Society partially cooperates with that while at the same time—inconsistently—touching base with the facts of science. This is an apparent and willing awareness that in so doing people are suppressing people like me who are nonetheless real and present.


The American Psychological Association (APA) doesn’t want to touch offensive trans person sexualities any more than most people. In the 7th Style Guide, the APA gives in to gender supremacy, not even trying to define or include transsexualism, using the word only once to say it’s largely outdated, even if some people yet identify with it (see below).

Virginia Tech—to its credit—has openly published since 2018 that some people there are dedicated to academic integrity while others seek, specifically, to suppress trans person sex issues. This openness is great, akin to the scientific process that if allowed to work can lead to discussion that will find truth. I’ve been struggling for transsexual, or T sex issues inclusion there since 2017—inclusion of real diversity, not partial.

For trans people, it isn’t just what we do that matters; it’s also what we would never do. To some needing to be the other sex is a life-saver; to others, it would be mutilation. We are all trans people, but we’re not all transgender; the umbrella argument is specious. This would be clear if people included that we’re sexually opposite in meaningful ways.

Opposite sexualities involved are major influences on trans lives. Most everyone on the planet is a sexual person, and so are trans people. To de-sex us for your own comfort is—horribly demeaning, is transphobic, says I’m disgusting, that I can be here but you’ll have to call me something else that doesn’t have the dreaded “S” word in it.

Referring to me as “transgender” is a demeaning slam which will cause pain and conflict, because it says my main need, the thing that is most vital for me in the world to be myself, is something that should not be mentioned, something not okay, something treated even as offensive.

I believe people who do not, themselves, feel a brain / body rift between a needed physical sex and the actual biological sex…do not know the pain of it—the deep, internal horror, the nightmare of being so deeply and terribly wrong. That includes transgenders as well as society at large.

How to Take a Neutral Position

“Trans person” or “trans people” are neutral, does not favor either gender or sex and includes everyone. That’s why it’s eschewed by many transgender advocates, because they’re trying to hide sex issues.

It is important to ask people how they identify, how they prefer to be referenced, and then do it. You may not like my religion, but if I tell you it’s mine, you need to accept that it is. It would be rude, even hostile, to argue with me that your religion is right and mine is wrong. That would not be acceptance of diversity.

You should use neutral language. But if you do include “gender identity,” for example, then you should also include “sex identity,” etc., as without that, you are engaged in gender supremacy, gender bigotry, excluding, suppressing, not accepting diversity.

What Transsexualism Is

Two sexes in the crew from the movie, “The Martian“; some of the primary sex characteristics, male and female genitalia, chromosomes.

Transsexualism is a demonstrated need to be the other actual sex.

Where one may assert “…I am transsexual, but I can’t have ‘GRS‘ right now (any of several excuses given)…,” if believed, the diagnosis should be provisional and temporary, as some people claim transsexualism for secondary reasons, without real intent.

As of yet, medical treatment with hormones, sex reassignment surgery (SRS), facial feminizing surgery (FFS), other body modification is the best that can be done. Medical science can’t go all the way. Yet. In time, when complete change of sex does actually become possible, the differences between transsexualism and transgenderism will be more clear—but in the interim, we’re still here, still hurting, still needing medical treatment to do the best we can.

This is a life-or-death issue for many of us, necessary. Whereso it is usually from birth. Where the brain is part of the body, I believe it is a congenital brain-body birth discordance, a form of intersex, though that is usually not recognized as such. Yet.

Where sex and gender are two different things, sex identity and gender identity are two different things, male and female are two different things…the need to be the other sex is different from the need to be the other gender. See my Letter to the Editor in Archives of Sexual Behavior.

To group sex and gender under “gender” is a perspective that works for most people, but sex and gender are inverse in transgenderism, some 90% of all trans people, and working with a conflated grouping is marginalizing and hurting people like me.

My primary need area is not gender. It is physical sex and sex response. Am I to be omitted or marginalized because it’s popular to do so? If I were forced to live as a man yet could actually be physically female, it would hurt, but I would survive. If I were forced to live as a woman yet be physically male, I would die. I could not live that way.

INTERNATIONAL SOCIETY FOR SEXUAL MEDICINE: While imperfect, I’m going to include this description under “What Is.” I wouldn’t use some of the terms as stated, but overall, they seem to understand that sex is better as a biological term and gender is cultural. A significant difference in our views is that they seem to include hormone therapy as indicating transsexualism, not transgenderism, and in reality most transgenders will take hormones to produce desired masculinity or femininity, which (I agree with Virginia Prince) are more as gender issues. Thus, if I read this, I’d think wrongly that if transgenders take hormones, they are transsexual, even if they would consider SRS mutilation. One can be even a fertile member of a sex and have secondary sex characteristics (breasts, body/facial hair, etc.) common to the other sex. Taking hormones does not mean one is transsexual; it usually means transgender.

What Transsexualism is Not

Here are examples; the list is not exhaustive. The pictures are below the description.

Be leery of excuses to avoid SRS: allergy to anesthesia (though would accept surgeries for other rasons), the kids are still young, in college, poverty… People who truly feel this need will find a way. Example: I did my transition with SRS, no money, alone in Los Angeles, 1981, while a sophomore in college by just getting a job with insurance that paid for it.

Socially owning ones own sex-and-gender non-binarism is not a value of the “transgender” social movement due to fear of rejection. Yet, the real reason for not attaining SRS is usually because the sexuality is not cross, e.g., she does still like her penis, or he does not want one.

How do you know when a social movement is wrong? When it suppresses T sex issues and people like me.

AMERICAN PSYCHOLOGICAL ASSOCIATION: APA, “Transsexual” is not something like “…gender identity that does not correspond to the sex assigned at birth” (italics mine). Note use of sex and gender, and note why that is wrong to do. I’ll show you herein below.

The APA Style Guide, 7th Edition, uses “transsexual” only once, saying it’s outdated but to use it if someone identifies with it.

Use it for people like me? People blame me as causing trouble if I insist, but it’s part of “good trouble” John Lewis was talking about and a necessary part of owning myself, of being myself in society.

The term is “outdated” because of a social movement that’s hiding / downplaying T sex issues, and the APA is also one of the groups sex-negative about T sexuality. If being “outdated” was wrong, then there was a time when science was blasphemy, being Black was truly less than real human, being gay was mentally ill, and women should be at home in the kitchen. I am someone you are trodding over.

The APA style guide uses “transgender” in all cases for all trans people, which is offensive, and uses gender terms, avoiding or navigating their way around T sex issues on a regular basis (see below) which is transphobic. Examples from Section 5.5 on Gender (see the screen pix below):

Gender is a social construct and social identity of attitudes, feelings, and behaviors that are associated with biological sex, but not actually sex, itself. Sex is biology… You can’t even say “birth sex” because it implies sex might be changeable.

But then Gender identity is used, seemingly, for both sex and gender in identity. Why not say sex identity if you mean sex identity? Because the APA is giving in to hiding T sex issues and re-naming them something society and transgenders say are less offensive. I am one of those things you’re treating as offensive, someone who is really about other physical sex and sexual response issues. If you think I put a lot of time into this website, there’s why.

And there’s that “transgender” word only as an adjective, again, whose gender identity / expression / role does not conform to sex assigned at birth. I am a noun, guys—as good as a genius, student, pilot or scientist—and I don’t appreciate the deprecation that I am not worthy. AND gender not conforming to sex assigned at birth… Again, that is transgenderism, but it is not transsexualism which would be “…a sex identity that does not conform to the sex assigned at birth.”

APA: Disliking or cooperating with dislike of T sex issues is transphobic. Why must you denigrate T sex issues by omitting them, circumventing them this way? You’re supposed to be a group that helps.

WebMD: It’s not that transsexualism isn’t just about surgery, but this WebMD page is completely unaware of what transsexualism is and their website is deeply offensive therefore.

They’re describing transgenderism, the phenomenon of a need to change gender and not sex. That is most trans people, but is horribly wrong for transsexualism. And I wouldn’t mind, as it’s not a bad page for transgenderism, but I think they’re rolling transsexual needs into it in a way that avoids them. If that doesn’t make sense to you, you’re right.

Medical treatment of hormones and surgery is necessary to life for transsexualism. The need is to be the other sex, and while that isn’t possible as of yet, SRS is vital to both this need and the needed sexual response of the other sex—both concepts of which are missing at WebMD.

I would never go to a doctor who didn’t know sex from gender or sex identity from gender identity.

NEW YORK TIMES: Transsexual is not pathological.

TSER, TRANS STUDENT EDUCATIONAL RESOURCES: “Transsexual” is not a pejorative.

MSD MANUAL: Transsexualism is not extreme gender dysphoria (or extreme transgenderism). Saying it is only makes (faux) sense if gender identity is conflated with sex identity and if T sex issues are suppressed. Notice in the description, it’s about masculinity and femininity, not (1) needing to be the other sex, and (2) a needed sexual response of the other sex.

CNN: Transsexualism is not such as identifying with a gender or gender identity different from the sex of birth, which literally is transgenderism, falsely used for transsexualism, which would instead be “…identifying with a sex different from the sex of birth…and then demonstrating that with SRS.” J.K. Rowling is referring to what people feel as a loss of identity if it’s all about gender identity and if ones physical sex isn’t real. I agree with her in the general sense, though I will suggest that cissex be used, too, meaning same sex. If the need to be the other physical sex isn’t real, then I don’t exist.

GLAAD: There are so many problems on this page. Transsexualism is not part of transgenderism as they are different concepts and only appears to be part of a gender umbrella if sex issues, the need to be the opposite sex, and sexuality are suppressed. If you mention gender identity, gender expression, and sex orientation, GLAAD, couldn’t you also mention sex identity, sex expression and gender orientation? “Transsexual” is a perfectly good noun, as worthy as genius, student, teacher, writer, and Christian; we should not cooperate with transphobia. SRS is NOT a small part of transition; it’s live or die to people like me, a major part of the trek to a goal. And when saying that many TGs don’t identify as transsexual, couldn’t you also say that many transsexuals don’t identify as transgender? No, because you’re positioning for gender supremacy and sex-and-gender conflation while hiding T sex issues: the Transgender Paradigm.

…on and on, more than could be read.