Some transsexuals may start off in the TV culture but, these apart, TVs are usually content with their sex of birth. Other social groups and activities may also involve a lesser or greater degree of cross dressing eg the 'Fetish Scene'. Cross dressing by women, which is very widespread in fashion terms, is not currently considered to be transvestism. A transsexual has been diagnosed as gender dysphoric, that is, deeply unhappy with their birth gender role. After surgery most happily blend back into society.
Gender is the way masculinity and femininity are perceived in a given culture.
My own conclusion is that to be transgendered is a human variation and is not in itself wrong. However to be human is to be a sinner, and some behaviour by the transgendered as with everyone else must be challenged. It is important to remember that our attitude can make things far worse for everyone concerned, or that we can be a transforming influence. My experience suggests that a deliverance ministry is rarely appropriate. I have been amazed and blessed by the number of faithful, believing, transgendered people I have encountered down the years, from ministers and elders to ordinary church members.