In my opinion this individual never had a gender problem since this person was born and will remain male until death. There is no amount of surgery that can change that. The problem is a severe psychological one which is a direct result of not being able to attain a satisfactory level of socialization within the male or female community. It is indeed a sad thing that surgeons do not take the time to discover the difference before starting the difficult process of trying to change a person's identity. Pleae do not bother to respond with all your personal identity stories because I find them all too sad.