Transsexual although they both refer to gender identity, transgender and transsexual are terms with distinct meanings. That they are often used interchangeably has led to some confusion. In most cases, a transgender woman is a woman who was designated (also commonly referred to as assigned) male at birth but who identifies as a woman. Trans women may experience gender dysphoria and may transition this process commonly includes hormone replacement therapy and sometimes sex reassignment surgery, which can bring relief and resolve feelings of gender dysphoria. Trans women may be heterosexual, bisexual, homosexual, asexual, or identify with other terms (such as queer). Little is known about the prevalence of transgender people in the general population and reported prevalence estimates are greatly affected by variable definitions of transgender. 2 out of every 100,000 people have received or requested gender affirmation surgery or transgender hormone therapy 6. 8 out of every 100,000 people have received a transgender-specific diagnoses and 355 out of every 100,000 people self-identify as transgender. Transgender people say they were assigned a sex that isnt true to who they are. Many people have assumptions about what it means to be transgender, but it isnt about surgery, or sexual. African-american transgender woman laverne cox, a star of netflixs orange is the new black series, has been prominent on the talk show circuit. Even facebook now allows users to select from more than 50 different terms to describe their gender quite an expansion from the more familiar binary options male and female. Im transgender, meaning the gender that was assigned to me at birth doesnt match the gender i identify with.