They can also undergo medical treatment (including Hormone therapy) and surgery to adjust their physical characteristics to that of their chosen gender. This gender reassignment can be a lengthy process, and involves a lot of consultation with medical professionals.

An individual usually has 1 year of counselling and hormone treatment, and then a further year of the “real-life test”, where they live as a member of the opposite Sex.

The length of the whole procedure can be reduced if it is carried out privately, but obviously this could cost a lot of money.