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Previously, there was the “Harry Benjamin Standards of Care” which outlined detailed steps that insured a person who identified as transgender followed a transition path that confirmed they would face no regrets later.

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You will no longer seek a mirror or a crowd to validate your feelings.

Thus, you end up with a male body being born with a female brain. What you’re dealing with is an inborn medical condition.

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You'd be hard pressed to find a trans-gal that can detail these important prerequisites: present company included. Every mammal is first conceived female: it's the default gender.