for many, they suffer severe gender dysphoria, they feel, very strongly, that they are in the wrong body, that the gender and sex do not match. Successful treatment would be delay in puberty, hormone therapy and possibly surgery, including lower surgery, if they feel that is necessary for themselves.

This goes far beyond cross-dressing, and from what the latest research has been building on, it appears that transgender may be best described as a type of intersex condition, but of the brain rather than genitalia/secondary sexual characteristics. There are slight, physiological difference between male and female brains, and it appears that everyone will likely identify with the gender their brain structures point to. However, there is an exception, a few people identify as neuter, for lack of a better word, an that gender identity is just as valid. This entire argument is best described to be on a spectrum.

The fact is that you could have a transgender MtF person who behaves as a tomboy, and still identify as female. Just because you identify as a particular gender should not restrict your choice of expression. Considering how subjective and culturally dependent gender expression is, it is probably not a very useful to even identify these expressions as activities by gender at all.
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