Transgenders are plagued by many questions. If a girl is born a girl genetically does that mean she really is a girl? Are children affected later in life with gender identification based on how they were raised? Some have never felt comfortable growing up as a girl or boy, while others were surgically altered early on. Both struggle with gender identity. Some don't realize they even struggle with this issue until they are adults, while others deal with it their entire lives.

Gender identity is basically when a girl, who is genetically a female, has decided she is not a female and feels the need to be a male instead. Why she feels this way may remain unknown to her or to anyone else in her life. The same goes for boys who don't feel they are supposed to be boys. Some people struggle with this idea until they are older and then some of them undergo transgender surgery to "correct" the gender problem they face. Others opt purely for hormone therapy to create small changes in their outward appearance. Some parents indulge in their child's identity issue while others choose to ignore it; the problem can, and sometimes does, get worse.

Some children have unmistakable gender identity issues in their adult lives due to a process that was entirely out of their control. While the occurrence of this is extremely rare today, it can still happen. Boys born with unusually small genitalia are given a small procedure and hormones to help make them more female and girls born with larger than normal genitalia were subject to a surgical process to ensure they would grow up male. These few adults are part of transgender groups today and had no control over what was done to them so early in life.

Some doctors have been outspoken and have stated that gender identity issues can be caught and determined as early as four years old. They even recommend treating children for this issue as early as the onset of puberty. This is mostly offered to those who just don't feel comfortable in their own skin. At puberty, the hormone therapy starts and, for some, they have transgender surgery at a later time. Regardless of how someone becomes transgendered, whether by just not feeling quite right or because they were physically altered early in life, they are in need of support. For all transgenders there are many support groups to help them on their way to discovering the identity they feel they truly are.

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