Social aspects and concequences of sex modification

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Viviane Namaste,  "Invisible Lives: The Erasure of Transsexual and Transgendered People",  University of Chicago Press,  November 2000 10
10: Even when nontranssexual women, transsexual women and males in drag are allowed in gay male establishments, they remain peripheral to the activities at hand.
Gianna Israel, Diane Shaffer, Donald Tarver,  "Transgender Care: Recommended Guidelines, Practical Information, and Personal Accounts",  Temple Univ Press,  1 January 1998 21
21: Individuals experiencing concerns about their gender identity may suffer social isolation, emotional anguish, distorted self-image, and even misdiagnosis by health professionals.