This is certainly an avenue of investigation that needs to be pursued. We are the way we are, after all. Among other things, we have to deal with the legal system. For instance, transgendered individuals often find themselves in the throws of hostile divorces with child custody at issue. There are also civil rights questions at stake.
Transsexuals face still other issues.
If transsexualism is a birth defect, however, then it is clearly defensible that these interventions should be covered just like any other birth defect. Thus, irrespective of how we feel about ourselves and how we personally justify our crossdressing or gender identity, our legal rights are clearly impacted by the question of whether crossdressing a manifestation of a congenital biological condition or whether it is no more than an alternative lifestyle which a few narrow-minded people find offensive. If you have any questions or comments, do send me an email .