I started to develop this website in 1999 when I was trying to decide whether to transition.  It was a summary of all the information that I had collected regarding male-to-female transsexualism, now usually referred to as Gender Identity Dysphoria (GID).  It now seems odd but initially most of the information came from books and magazines and newspapers that I had saved! 

However, the turn of the millennia was an extraordinary period which was truly transformational for transsexual women.  By 2000 the Internet had hundreds of small websites [admittedly often amateurish] published by transgender women on free hosting platforms such as Geocities and Tripod, which were a mine of helpful information, some misinformation, and a lot of exaggeration.  Sorting the truth from the "white lies" was tough, and I made some mistakes. 

Fast forward 20+ years and those ground-breaking but time-consuming websites are sadly long gone - replaced by thousands of social media accounts showing flattering photos posted on Instagram and Facebook, or manipulated video clips on YouTube and TikTok.  The titles of these posts, pictures and videos are heavily focussed on getting lots of views and likes, but the content is often very benign - or get banned!

Decades after its launch this website is now largely historical in nature, but I hope that it still contains some information that may be useful and helpful.  There have been no major changes since my sex-reassignment surgery (SRS), aka gender confirmation surgery (GCS) in 2004, although I occasionally make small updates, corrections, or additions in areas of particular interest to me.  I have also removed or re-worded some pages, photos and information that would now be considered very controversial and potentially get the site suspended.  Views and opinions about sex and gender that were the norm around 2000 are often no longer considered acceptable, and I apologise where offence is still unintentionally caused.

The cover of the September 2019 issue of Elle featured 18-year-old Norwegian transgender model -  Emma Ellingsen (right).  On the left is Siri Lehland, also 18, who was on the magazines August 2018 cover with no hint that she was transgender.

In 2000 there were about 60,000 post-GCS women (half USA residents)  in the entire world - and most had used a few dozen surgeons whose individual merits were intensely debated within the trans-community.  Fast forward to 2020 and a million post-GCS women (the majority not USA residents) might be an under-estimation.  Thailand has overtaken the USA as the 'market leader' due to the low price and generally high quality of the surgical procedures performed there.  Small clinics in Thailand have grown into specialist hospitals which each conduct thousands of gender confirmation procedures annually (over 90% on foreigners), with a surgical 'production line' operating on up to ten patients in a session.  One Thai surgeon, Dr. Kamol, claims to be performing (or perhaps more correctly supervising) 2,000 MTF operations a year - equating to about half of all operations performed annually, world-wide, at the start of the millennium!

Because of the huge increase in the number of transwomen (about 1 in every 200 women has become a widely quoted ratio) they are no longer rare "freaks" that occasionally appear in an afternoon television show or a tabloid newspaper expose.  Most people (particularly in younger age groups) now personally know someone who is transgender - a family member, classmate, friend, work colleague, etc.  This is changing attitudes to the extent that going deep stealth after transition is no longer the goal of every transwoman who can pass convincingly as a woman. 

In early 2014 the 22-year-old top-100 male model Andrej Pejic had gender confirmation surgery.  A year later she reappeared as a female model - Andreja.  The big story is that this made no headlines and she failed to find a major media company to film  her transition and GCS.  A short documentary was eventually made using $60,000 of Kickstarter funding.

Other major developments since 2000 include:

• Laws recognising transwomen as women and prohibiting any discrimination based on sex or gender. [A legal case taken by Caroline Cossey in 1989 played a huge role in starting this process] 

• Transwomen born with a male birth certificate can legally marry as a woman in many countries. Some faiths/orders (e.g. The Church of England) will perform a religious marriage ceremony as long as the couple identify and marry as a "a man and a woman"

• The acceptance by the modelling industry of transwomen as female models, e.g. Andrej (now Andreja) Pejic and Lea T

• An acceptance by the medical profession of the need to treat children under age 18 with gender identity disorder - with singer Kim Petras setting a famous example

• A huge shift in the median age of western transgender patients having GCS, this has dramatically moved from the early 40's to the early 20's

• Medical advances - both surgical and endocrinological.  The announcement of the first MTF transwoman to gestate and give birth to a baby is a case of when rather than if.

Another significant change is that in the late 20th century, Gender Identity Disorder (GID) was a condition that was primarily associated with men.  Whilst transwomen still dominate public attention, there has been a quiet but dramatic explosion in the number of transmen.  In 2000 male-to-female (MTF) surgical procedures out-numbered female-to male (FTM) procedures by roughly 3-to-1, by around 2017 the numbers were equal, and since 2020 many clinics have been reporting that they were performing more FTM than MTF gender confirmation operations.  The transition in 2020 and subsequent FTM surgery of actor Elliot (previously Ellen) Page belatedly woke up the media to the fact that not all transgender people are transwomen.  If current trends continue then by the mid-2020's there will be more post-GCS men than women, although I suspect that very few people would guess that if asked.

A print screen from the website of the Scottish Mirror newspaper on 14 March 2023.

Going to Far?

By the end of the 2010's the transgender bandwagon was on an immensely successful roll.  For example:

• It had become essential for UK government bodies and all but the smallest companies to prove their LGBT credentials by employing advisors such as Stonewall and Mermaids at considerable financial cost

• The International Olympic Committee and other sporting organisations allowed transgender athletes to compete as women if they held a female passport - no medical treatment required

• The NHS began avoiding using the word "woman", replacing it with the term "people who have ovaries" and suggesting that "some people" are likely to get pregnant, have a miscarriage, have an abortion, suffer from cervical cancer or have a menopause

• The UK's National Health Service (NHS) purged its website and guides of words such as "mother", "breast feeding", and "breast milk", instead it used terms such as "birthing person", "chestfeeding" and "milk from the feeding parent".  Many other organisations quickly followed suit.

• The word "mother" became considered to be offensive: 

  • The UK's General Medical Council removed the word "mother" from all of its pregnancy related publications

    On 22 December 2022 the Scottish Parliament passed the Gender Reform Bill Scotland. This allows anyone age 16 or more to self-identify their sex for legal purposes. The UK government blocked the legislation and it has not yet become law, despite determined attempts by the ruling SNP.

  • The Welsh government removed the word "mother" from its maternity support publications

  • The charity Oxfam issued guidance to its staff telling them to avoid using the word "mother" as this could offend

• In 2019 the NHS published guidance that allowed "physically intact men who identify as women" to be "housed on female-only wards"

• Always, a manufacturer of sanitary pads, asked a parenting website that it sponsored to remove the words "women", "girls" and "females", and similar, as these had now become controversial

 

It's cheaper to provide one 'Gender neutral' mixed toilet than separate Men's

Backlash

• The proliferation of "gender neutral' toilets", to the horror of most women

• Transwomen participating in local female sports events when they are often much taller, heavier and more muscular

• Having to share female hospital wards with other patients who are physically male but possess a female Gender Recognition Certificate (GRC)  

• Having to attend at work mandatory courses on subjects such as unconscious bias, gender diversity, inclusivity and trans rights

  When Adam Graham was convicted of raping two women in 2023, the Scottish Prison Service sent him to a women-only prison as he now self-identified as a woman, calling himself Isla Bryson.  He was not receiving any medical treatment and had a fully functional penis.

• Female rape victims ("people with a vagina") being treated by counsellors who are pre-SRS transwomen, some without even a GRC

• Violent male rapists and child abusers avoiding jail or being send to women's prisons after applying for and receiving a GRC as a woman

• The disappearance of the honorific titles "Miss" and "Mrs" from forms, correspondence, and other communications

• Needing to avoid using sex specific words such as  "she", "female", "woman", "women", "mother" and "girl" in documents and even conversation  -  fundamentally changing the English language

• Children under age 16 being prescribed puberty blockers and even hormones without the knowledge of their parents.