It’s late, and he’s drinking gin.“Now look at the guys.“ Another sweep with the glass. “Guys like them, to get a girl like one of these in the States, they’ve gotta have three things. “All these guys,“ he says, “they’ve probably got one of those things. But I guarantee you, none of them have all three.“When you’re not drunk and the place is almost empty, this is what it looks like: There are tables just inside the door to the right, three rows of them between the windows fronting the street and the wooden rail that keeps people from tumbling off the raised platform that holds the main bar, which is huge, two peninsulas poking out in the shape of an upside-down U.
A diagnosis of gender identity disorder or gender dysphoria and a letter of recommendation from the therapist allows a person to begin hormone therapy with a doctor.
Fred Ettner, a physician in Evanston, Ill., who works with people going through transition, estimated that only about 25 percent to 30 percent of transgender people have any kind of surgery.
How does one begin the process of changing one's sex?
And if there were, there is no agreement on what "trangender" means. The number worldwide is estimated to be two to five times larger." At least one other researcher says there are many more.
Marci Bowers, a transgender obstetrician and gynecologist in Burlingame, Calif., who performs the surgeries, said in an interview that she does about 200 per year herself, about three quarters of them male to female.