"3" Step ProgramYou all know I relish over simplifying things and people that can do it!
I am not saying I can- but here's an attempt.
Step #1,- The person moves from a fetish attraction to the clothes of the opposite sex and becomes a cross dresser.
Step #2.- The person moves from the mirror to an inner feeling of identifying with the opposite gender and becomes transgender.
Step #3.- The person moves to align inner feelings with physical body modifications and becomes a transsexual.
Step #4.-A whole bunch of peeps want to trash me for this over simplification!