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.
Transsexual people experience a gender identity that is inconsistent with, or not culturally associated with, their assigned sex and desire to permanently transition to the gender with which they identify, usually seeking medical assistance (including hormone replacement therapy and other sex reassignment therapies) to help them align their body with their identified sex or gender.
Transsexual is a subset of transgender, Dora R of Germany began a surgical transition, under the care of Magnus Hirschfeld, which ended in 1930 with a successful genital reassignment surgery.
Never in his life had he seen a river before— this sleek, sinuous, full-bodied animal, chasing and chuckling, gripping things with a gurgle and leaving them with a laugh, to fling itself on fresh playmates that shook themselves free, and were caught and held again.
All was a-shake and a-shiver— glints and gleams and sparkles, rustle and swirl, chatter and bubble. By the side of the river he trotted as one trots, when very small, by the side of a man who holds one spell-bound by exciting stories; and when tired at last, he sat on the bank, while the river still chattered on to him, a babbling procession of the best stories in the world, sent from the heart of the earth to be told at last to the insatiable sea.~ the fifth paragraph from The Wind in the Willows by Kenneth Grahamesuch gorgeous and evocative prose....
I had totally forgotten about taking these pictures, but seeing them now brought back a lot of fond memories of being young. He would walk me back to my car every night though, to “protect his pretend girlfriend”, as he said, even though his “girlfriend” really wasn’t a girl yet, and not really a girlfriend either, and also already had the uncanny ability to scare people away just by staring.
He thought his happiness was complete when, as he meandered aimlessly along, suddenly he stood by the edge of a full-fed river.True transsexuals feel that they belong to the other sex, they want to be and function as members of the opposite sex, not only to appear as such.For them, their sex organs, the primary (testes) as well as the secondary (penis and others) are disgusting deformities that must be changed by the surgeon's knife.Individuals who have undergone and completed sex reassignment surgery are sometimes referred to as transsexed individuals; however, the term transsexed is not to be confused with the term transsexual, which can also refer to individuals who have not yet undergone SRS, and whose anatomical sex (still) does not match their psychological sense of personal gender identity.The terms gender dysphoria and gender identity disorder were not used until the 1970s, "Transsexualism" was replaced in the DSM-IV by "gender identity disorder in adolescents and adults".