To be honest, to a degree I think this is a fad going around. I've found quite a few blogs of people who say they are trans, but generally have no intention of every doing hormones/top surgery/bottom surgery. Or they say they will, but they never get around to it. I've done enough searching to know that the people who really feel like they are the wrong gender will go to great lengths to get their hands on hormone treatment etc. (I watched a video of a guy who went to the black market to get the testosterone his doctor prescribed for a lower price so it was affordable.) I've even recently read about someone who lives on the line of poverty who has started to pursue therapy in order to start hormone treatment/top surgery at the least. If there is a minimum amount of societal factors around you (parents, loved ones, friends) who don't see this as a problem with your gender identity then it should be even easier for you to pursue treatment to get the necessary things done so you feel comfortable in your own skin. I watched a documentary on this where people would even leave their home country and go elsewhere to get the surgery done, spending all of their savings to do so.

((I'm referring to more modern times as opposed to in the past where many of these surgeries and treatments were much harder to come by))

In a way, I can see this as an empowering act for some of the people. Under normal circumstances it isn't as acceptable for a man to be so feminine, and although there is a double standard for women, its not encouraged for women to dress or act 'manly.' I know that there is a surge of 'genderqueer' too, where the person doesn't identify as male or female and won't use gender specific pronouns, will use opposite pronouns or will use both male and female pronouns when being referred to.

But now days gender identification has become complicated.

I also realize that my post may make me sound pretty close minded about the whole thing. I don't mean to offend.