Some may also be known as male-to-female transsexuals, mtfs, transsexual women, transgirls, or tgirls. The term transsexual originated as a medical term and is sometimes considered pejorative. A transsexual is a person who physically transitions in general terms, the word transgender refers to people who identify differently from their biological sex. A transsexual is a person who physically transitions from male to female or vice versa. Transgender people have a gender identity or gender expression that differs from their sex assigned at birth. Some transgender people who desire medical assistance to transition from one sex to another identify as transsexual. Transgender, often shortened as trans, is also an umbrella term. Transvestite a laymans guide (note in the writing of this, i do not mean to exclude or rigidly define any group in the trans community, im simply providing broad-stroke definitions for those who may be confused about the distinctions in language.). Need to iron out all the creases and get into the nooks and crevices of it all. Maybe we didnt 20 years ago when transgender displaced transsexual. Transsexual people experience a gender identity that is inconsistent with their assigned sex, and desire to permanently transition to the sex or gender with which they identify, usually seeking medical assistance (including sex reassignment therapies, such as hormone replacement therapy and sex reassignment surgery) to help them align their body with their identified sex or gender. Both transsexual and transgender women may experience gender dysphoria, distress brought upon by the discrepancy between their gender identity and the sex that was assigned to them at birth (and the associated gender role or primary and secondary sex characteristics). A transsexual is a person who feels he or she belongs to the oppopposite sex, and has a desire to assume the physical characteristics and gender role of the opposite sex. Transgender definition is - of, relating to, or being a person whose gender identity differs from the sex the person had or was identified as having at birth especially of, relating to, or being a person whose gender identity is opposite the sex the person had or was identified as having at birth.