The word transsexual is most often used as an adjective rather than a noun – a "transsexual person" rather than simply "a transsexual".Like other trans people, transsexual people prefer to be referred to by the gender pronouns and terms associated with their gender identity.1987, Coleman and Bockting, 1988, Blanchard, 1989).These labels thereby ignore the individual’s personal sense of gender identity taking precedence over biological sex, rather than the other way around." Psychologist Stephen T.Benjamin gave certifying letters to his MTF transsexual patients that stated "Their anatomical sex, that is to say, the body, is male.Their psychological sex, that is to say, the mind, is female." After 1967 Benjamin abandoned his early terminology and adopted that of "gender identity." and some people who pursue medical assistance (for example, sex reassignment surgery) to change their sexual characteristics to match their gender identity prefer the designation transsexual and reject transgender.
For example, Christine Jorgensen, the first person widely known to have sex reassignment surgery (in this case, male-to-female), rejected transsexual and instead identified herself in newsprint as trans-gender, on this basis.For example, a trans man is a person who was assigned the female sex at birth on the basis of his genitals, but despite that assignment, identifies as a man and is transitioning or has transitioned to a male gender role; in the case of a transsexual man, he furthermore has or will have a masculine body.Transsexual people are sometimes referred to with directional terms, such as "female-to-male" for a transsexual man, abbreviated to "F2M", "FTM", and "F to M", or "male-to-female" for a transsexual woman, abbreviated "M2F", "MTF" and "M to F".What would be the situation after corrective surgery has been performed and the sex anatomy now resembles that of a woman? Many sources, including some supporters of the typology, criticize this choice of wording as confusing and degrading.Biologist Bruce Bagemihl writes ".point of reference for "heterosexual" or "homosexual" orientation in this nomenclature is solely the individual's genetic sex prior to reassignment (see for example, Blanchard et al.For instance, it is difficult to decide whether a transman erotically attracted to males is a heterosexual female or a homosexual male; or a transwoman erotically attracted to females is a heterosexual male or a lesbian female.Any attempt to classify them may not only cause confusion but arouse offense among the affected subjects.In 1930, Hirschfeld supervised the second genital reassignment surgery to be reported in detail in a peer-reviewed journal, that of Lili Elbe of Denmark.In 1923, Hirschfeld introduced the (German) term "Transsexualismus", Benjamin went on to popularize the term in his 1966 book, The Transsexual Phenomenon, in which he described transsexual people on a scale (later called the "Benjamin scale") of three levels of intensity: "Transsexual (nonsurgical)", "Transsexual (moderate intensity)", and "Transsexual (high intensity)".Harry Benjamin said in 1966: ..seems evident that the question "Is the transsexual homosexual?" must be answered "yes" and " no." "Yes," if his anatomy is considered; "no" if his psyche is given preference. "No" if reason and common sense are applied and if the respective patient is treated as an individual and not as a rubber stamp.