Abstract
Though there are many themes and subthemes running through this outstanding book—including brief biographies of several transsexuals, and debates within the transsexual community itself—the one that is probably of most interest to readers of this journal is the necessary and often reluctant involvement of physicians and surgeons. There have always been individuals who believed that somehow their anatomical sex did not match their image of what they should be, and who petitioned surgeons to operate to correct what they felt was a mistake of nature. Not only were such requests a challenge to traditional ideas of sex, but the issue was further complicated by a lack of definition of what constituted transsexualism, and what distinguished it from homosexuality and lesbianism as well as transvestism.
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