What causes a person to be transgender? You might as well ask the question, what causes a person to be (a) gender? These questions ask the exact same thing. If you are a cisgender person wanting to understand what causes a person to be transge. on the other hand, recent developments have also happened with female to male surgery,. Sadly, the transplant is only available to men injured in combat and not transgender men. 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. continued transgender people can be straight, gay, or bisexual. It has nothing to do with the kind of people they have romantic feelings toward. How does realizing youre transgender happen? (curious, not tryna start up toxicity) im a cisgender male and im interested in knowing how does it happen for some people, because my friend (cisgender female) is an ex transgender person (she previously identified as a guy then no longer did). female-to-male gender-affirming surgery may involve the creation of a new penis. Learn more about what to expect from different forms of this surgery here. Sex reassignment surgery for male-to-female involves reshaping the male genitals into a form with the appearance of, and as far as possible, the function of female genitalia. Before any surgery, patients usually undergo hormone replacement therapy (hrt) and, depending on the age at which hrt begins, facial hair removal. There are associated surgeries patients may elect to undergo, including.