What transsexualism is about is a need to be the other sex. An apple and a tomato. You can still tell them apart even if they look similarly?
They are both red and round…so are they both apples?
Chromosomes, a uterus, the brain...all parts of being a physical sex.
Collage of transsexuals over 100 years: Lili Elbe, Christine Jorgensen, Canary Conn, Renee Richards, Jan Morris, Jenna Ware.
Transsexuals, left to right: Lili Elbe, Christine Jorgensen, Canary Conn, Renée Richards, Jan Morris, Jenna Ware.

Intro and Summary
The Differences
What Transsexualism Really Is
Slamming Dissent Intimidates Universities and Science
Most People, Including Transgenders, Do Not Know What We Mean
Accepting Diversity Includes Incompatible Views
How to Take a Neutral Position
Issues in Transsexualism
What Transsexualism is Not

False Excuses for Avoiding SRS
If T Sex is Admitted to Exist as Okay
Physical Sex Cannot as yet be Changed, but We’re Still Here

Transsexualism is the demonstrated need to be the other physical sex.

Intro and Summary

Transsexualism is a misunderstood and maligned phenomenon in a “transgender” social movement that says make it about gender and that also actively suppresses trans person sex issues, which makes it look like it’s primarily about gender for us all.

People feel certain that “gender” is a binary concept, that “woman” also means “female” and “man” also means “male.” They see this every day in others and in themselves. It is “knowledge.” It seems like a fact, reality, the simple truth of it, undeniable.

But for most trans people, this is not true. About 90% of trans people do change gender role in society, but while T sex issues are largely played down, they in reality do not want to be the other physical sex. This is sex-and-gender non-binarism, transgenderism, and shows that sex and gender are two different things.

Transgenders fear society’s prejudice against sex-and-gender non-binarism, so they demand sexual secrecy. Society hates that non-binarism, so it is more than glad to “cooperate” and also suppress T sex issues.

That process suppresses and shames people like me, because my life, my core issues, are exactly those sex issues said to be unspeakable. Every time I hear someone imply I’m part of the transgender paradigm, I feel demeaned, marginalized, slapped…as what I am is treated as something that shouldn’t be mentioned.

I believe the transgender social movement is a stepping stone on the path to social integration, not the end goal. I have been involved since 1977, and I’ve seen this develop and change in society. Sex-and-gender non-binarism, and all trans person sexualities, need to come out of the closet and begin to be treated equally as okay, following in the footsteps of our brothers and sisters in the gay movement.

With this in mind, and with clarity of those suppressed sex issues, I will try to explain below why transsexualism is not transgenderism, and why it is wrong to demean T sex issues.

The Differences

Most people want to be the same sex and gender they’re born with and are expected to be—binary. They feel this in their heart as “normal,” see it every day.

Only about 10% of trans people are transsexual.

Some people need to be the other sex and gender, opposite birth and expectation—also binary, but the other binary. This is transsexualism. Most people think that is hard to understand, but at least they can understand the goal—if they are not dissuaded by the transgender paradigm which says it is offensive to admit T sexualities.

And there are some people who want to live as the other gender but do not want to actually be the other sex—non-binary. Sex-and-gender non-binarism is purposeful; it is not a step in a process but the goal. This is transgenderism, and it is the most popular way by far to be a trans person.

I agree with Virginia Prince, Ph.D., that it is important not to use gender role as an umbrella for all trans people, as to do so impairs understanding of trans people who need to be the opposite sex from each other.

What Transsexualism Really Is

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

It is not without sex reassignment surgery. If someone doesn’t want the genitalia of the other sex, she doesn’t want to actually be the other physical sex. SRS is a necessary yet insufficient part of it.

It is not “transgender with a surgery” which is part of the transgender paradigm that suppresses T sex issues as offensive to mention, so “sex” is not part of that phrase. The false implication is that the need to be the other sex moves with the need to be another gender, and it does not in transgenderism. Transsexuals need to be the opposite sex from transgenders, a meaningful difference. There should be a way to note people who need to be the other actual sex, and there is: transsexual.

It is not just taking hormones to become more feminine or masculine. Those are characteristics that result from (are secondary to) the physical sexes, but do not themselves denote sex. At best they connote, from which we may infer as there is a positive correlation in our species—but it should be remembered that correlation is inverse in transgenderism. One can be even a fertile member of a sex and have opposite secondary sex characteristics.

Dr. Who as a real, biological female, after having been a real, biological male. This is true transsexualism.
Dr. Who as a female.

I haven’t yet seen all of the “Doctor Who” seasons, but it’s my understanding Dr. Who really did change biological sex, not just gender. If not, please correct me. But if so, why not say so? Is there something wrong with it?

Sex and gender are very different. Note in part: Do we get together and have gender?

But for us mere mortals with no TARDIS, sex cannot as yet be biologically changed. This is a hell I have to live with. SRS made it survivable. But the 21st century social movement that…

  • only wants to attend to social gender role,
  • is sex negative, saying not to mention the need to be the other sex, the needed sexual response of the other sex, and sex identity, and
  • says even asking if I’m transsexual is transphobic

…makes my life very painful, every day.

Slamming Dissent Intimidates Universities and Science

T sex issues have been made a third rail, the thing to stay away from. Transgender paradigm tenets must be accepted as scripture or cancel culture whips will publicly slam people. Unethical advocates of hate, who feel empowered online by synergy, have learned to use the internet to hurt people. Their actions are generally rather adolescent—the ability to do something without the judgment to know what is best.

I would think dignified universities and scientists would be beyond that, but people and organizations give in.

In the grips of this T sex-denying scripture dissent bashing, universities teach gender supremacy, and scientific researchers bend topics to fit. A description is here.

People needing to be another gender yet cis physical sex have different psychosexual issues from people who need to be the other sex. Usually those issues are opposite.

Since about 2004, mostly, T gender-not-sex advocates have had their knee on my neck, crushing the life out of my most basic inner needs, even saying it’s okay to discriminate against people like me. I feel like it’s the T-sex Dark Ages, and I’m surrounded by blood letting to balance humours, Ptolemaic astronomy with Earth at the center of the cosmos, and a gender church that will crush dissent. (I used to be a professional member of HBIGDA-then-WPATH, and I argued for transsexual retention, but I left when they became committed to the transgender paradigm.)


Three examples of organizations which marginalize transsexualism.

The American Psychological Association (APA) is T sex-negative, 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 outdated. They note variations from classic transgenderism, yet all the terms are about gender. They note gender identity is distinct from sex orientation, but they don’t include sex identity or gender orientation, to keep gravitating toward a social gender role model for transgender people that—while it does recognize a need for non-binarism—does not recognize that some people have a need to be the other binary, the need to actually be that other physical sex, an opposite sexual response needed, etc. Those things are vital, and they’re all left out of “transgenderism” and “gender identity” which are about social gender role. The APA seems to promote the view that trans people are best understood with a gender-not-sex view, which demeans people like me who really are about what they won’t say. They heap more weight on my shoulders.

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, yet in the interim most of what is said is gender supremacist. I’ve been struggling for transsexual, or T sex issues inclusion there since 2017—inclusion of real diversity, not partial.

Planned Parenthood goes so far as suggesting that even so much as asking if someone is transsexual is, itself, transphobic. I feel so slammed with things like that.

And there are many, many more examples, going farther than imagination.

Most People, Including Transgenders, Do Not Know What We Mean

For trans people, it isn’t just what we do that matters; it’s also what we would never do. To some trans people, SRS is a life-saver; to others, SRS would be mutilation. That has to matter.

It must also be known that some people who really are about transgenderism, with a gender focus, have SRS for secondary reasons—such as perceived validity or access—other than the actual need to be the other sex.

Things like opposites sex needs prompt me to say that we are all trans people, but we’re not all transgender. The umbrella argument is specious (#1 on the “Transgender Paradigm” page). This would be clear if people included that we’re sexually opposite.

Sexualities 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 denigrating, 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 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.

Accepting Diversity Includes Incompatible Views

If you treat one phenomenon as if the other phenomenon, you will hurt and alienate people.

The view “It’s all about gender, don’t mention sex, lump us together” is incompatible with “It’s also about physical sex, do include sex, and we’re different phenomena.”

But if you don’t allow for both, you’re not accepting diversity; you’re suppressing the minority view.

How to Take a Neutral Position
We need to learn to coexist, together, in peace, without giving up ourselves so that we only reinforce someone else's vision of who we should be.
Coexistence does not mean we get along if I let you define me. It means co-existing with each other while we’re ourselves. And that must include transsexualism, also.

“Trans person” or “trans people” are neutral, favor neither gender nor sex and include everyone. That’s why they’re eschewed by many transgender advocates who want it to be about gender-not-sex.

On a personal level: It is important to ask people how they identify, how they prefer to be referenced, and then do it—even by various means when the person is not present.

On an organizational level: It is important, however to state and accept both sex and gender in T lives, as without that, trans person lives are hurt, integration is limited, and hate crimes enabled.

You may not like my religion. You may believe it’s wrong. You may believe God, himself, condemns it, and that I will go to hell for it. 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. to balance, as without that, you are engaged in gender supremacy, gender bigotry, excluding, suppressing, not accepting diversity.

Issues in Transsexualism

Pre-operatively, a diagnosis for transsexualism should be provisional and temporary, as some people claim transsexualism for secondary reasons, without real intent.

Alone in a crowd.

This is a life-or-death issue for many of us, necessary. Where so 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:

If I were forced to live as a woman yet be sexually male, I would die. I could not live that way.

If I were forced to live as a man yet could actually be biologically, physically female, it would hurt, but I would be very pleased in some ways, and I would well survive.

INTERNATIONAL SOCIETY FOR SEXUAL MEDICINE: While imperfect, even confusing sex and gender—”Transsexuals may also decide to have gender reassignment surgery…”—I’m going to include this description more or less 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, and that transsexual is about needing to be the other sex.

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.

International Society for Sexual Medicine web page showing recognition of both transgenderism and transsexualism.

What Transsexualism is Not

Here are examples; the list is not exhaustive.

False Excuses for Avoiding SRS
Collage about making false excuses.

Accepting T sex issues should be done on an institutional level. Don’t out individuals. But if T sex is not accepted socially, individuals may well feel they can’t opt in to openness, Integration is compromised, and bigotry and hate crimes can be enabled.

Because of the absence of social acceptance, most transgenders at this stage of the transgender social movement’s evolution may feel nervous if a particular person is specified as cross gender yet not also wanting the other sex, or if discussion is going that way.

At such times, in perceived defense or alternately as a plea for perceived validity, I’ve heard false reasons given for why SRS—likely stated as GRS—cannot as yet or shouldn’t need to be obtained:

  • “I shouldn’t need to be sterilized to be considered female”
  • “I want to have children, some day,” or “I may want to have children some day,” when no children are forthcoming;
  • “I am allergic to anesthesia,” though it would be accepted if there were an auto accident or something;
  • “I need to wait until the children are grown; it would scar them”;
  • “I have no money.” Alone in Los Angeles, 1981, while a sophomore in college, so poor I lived in a one-room apartment, taking the bus because I had no car…I switched and got SRS in 7 months. It was not magic; I got a day job with insurance that paid for it.
  • “The only good surgeon is booked for the next couple of years, and I can’t get in.”

My experience with this is that how we shape ourselves and our lives will tend to reflect our inner needs. If something is not chosen, sought, done…then it wasn’t really wanted. If something truly is wanted, ways tend to be sought to achieve it.

In the span of a few years at college, you may not notice the pattern. A longer view is needed.

If we could just agree non-binary sexuality is okay to have, hopefully we could merely be accepting, and people could value themselves as well, as they are.

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 a group of people.


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.

APA style guide 7th Edition disrespecting transsexualism.

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. Prejudice goes through phases where it raises its head for years, or even centuries, to be fought back, time and again. 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.

American Psychological Association 7th style edition reinforces a view of gender change while avoiding its sex issues.


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.

To begin with, they describe gender identity with physical sex terms. More appropriately would be sex identity for sex terms (an identity of self as male or female) and gender identity for gender terms (an identity of man or woman). A binaristic gender-role overlay is a big part of the problem, but when dealing with people who struggle to be sex-and-gender non-binary, words need to be used to describe.

In general, 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.

WebMD: Doesn't even seem to know what Transsexualism is.


Transsexual is not pathological.

New York Times article saying that "transsexual" is pathological.


“Transsexual” is not a pejorative…

Companies or organizations like this do say things like this…

…something bad, pejorative or pathologic…
…that many transgender people do not identify as transsexual…

…but note they do not also admit that other people find assertions of pejorative or pathologic to be transphobic or that there are transsexuals who do not identify as transgender. Why? A preference for the gender-not-sex, T sex-negative social movement. This is suppressing T sex issues, and it’s transphobic.

TSER saying that "transsexual" is a pejorative and failing to say that there are people who disagree.


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.

MSD medical manual that confuses gender dysphoria and sex dysphoria.


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.

A CNN article on gender issues; and commenting on J.K. Rowling's sex and gender comments.


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 are suppressed—the need to be the opposite sex, and sexuality. Things can be made to look like anything if you only allow part of it to be discussed. 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—here again—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—again—you’re positioning for gender supremacy and sex-and-gender conflation while hiding T sex issues: the Transgender Paradigm.

GLAAD Media Reference Guide that shows gender bias.

…on and on, more than could be read.

If T Sex is Admitted to Exist as Okay

If T sex is admitted to exist as okay…

  • the need to be a physical sex, male or female,
  • the needed sexual response as a sex, male or female,
  • an identity of physical sex, male or female…

…then it becomes clear why it’s important to acknowledge and include transsexualism.

Living as another gender yet not wanting to be the other actual sex is a way of life for millions. We need to know that is okay, which does not happen if we avoid it.

For people like me, and I’m here to tell you it’s real, needing to be the other actual sex is a drive that neither transgenders nor muggles know. It’s deep, pervasive—goes way beyond feminizing or a social role, way beyond government documentation. You may not know this. You may think you do know, but you don’t.

As Virginia Prince also said, there must be a way of stating people who need to be the other actual sex.

Physical Sex Cannot as yet be Changed, but We’re Still Here
Collage of sex and sex identity issues, chromosomes, uterus, genitalia, the brain.
Dr. Who as a real, biological female, a real transsexual per my own needs; Dr. Crusher and Dr. McCoy from Star Trek.
Dr. Who as a female; Dr. Crusher of Star Trek TNG: Dr. McCoy of the original Star Trek.

Physical sex cannot as yet be changed. I mean actually—not living as, not simulating, not in the role of, not just identity…but actually—and not just the changing into, but also to repair or change the damage done, physically and neurally, by prior hormones and genetics.

Some day physical sex will be able to actually be changed. At such time, it will be more clear why terms such as “transsexual” and “transgender” are important for different phenomena. It’s not a few inches of surgery; that is demeaning, marginalization by minimization. The sexuality is opposite in many ways.

To me, it is the deepest core of a human being, second only to being human, itself.

Society can’t deal with that? Society needs to frame trans people as something it can understand from a distance, without really getting to know us, hiding our sexualities while it does it? That is to maintain a myopic view on sex-and-gender binarism that is false and is erasing people like me.