Basically, it is all messed up in so many ways, it is difficult to list them all. It is not perfect. It is horrible too, just as horrible as being transsexual and being straight. Inside, the transsexual knows what they are, but by this time, even trying to tell anyone is so scary, so horrible, so filled with fear of being hated, hurt, or even killed, that they just try to do their best, and hope to die soon. Some transsexuals are not as tough as others, just like any type of people, and so they just cannot suffer anymore.
Many transsexuals kill themselves, because it hurts so much.
However, in the last 60 years or so, medicine and surgery has become very advanced. Now there is hope for transsexuals . They can be given the correct hormones. The correct hormones change the body to match the brain. The body starts to alter and to turn into what it should be.