::::Funcrunch's suggestion is pretty much what was there when I made this edit. I avoid "and/or" in Wikipedia articles these days, though, per the WP:ANDOR guideline. But, as noted on my talk page, although the lead of the Transsexual article still needs expansion and ideally should mention sex reassignment surgery, including the fact that many transsexual people do not get the surgery, I am fine with Cutelyaware's latest edit on this matter.