In 2001, she began medically transitioning and identifying as a transsexual woman.
Some transgender or transsexual women and men, however, do not identify as part of a specific "trans" culture.
Some transsexual women with low voices have surgery to raise them.
Other transsexual women try to make their voice sound higher and more female without surgery.
Some transsexual women ask for a vaginoplasty when they go from male to female.
Green argues that the members of these groups are mentally indistinguishable from modern western transsexual women.
Pollack is a transsexual woman and has written frequently on transgender issues.
This paper indicated that the festival was still enforcing a policy of exclusion for transsexual women.