Gender transition is a personal journey

Gender transition is the process of living as the gender you actually are, and it looks different for every person who goes through it. Some people begin in childhood, some in their 70s, some over a few months and some over many years. There is no single right route, no required set of steps, and no correct destination. The only measure that matters is whether the person doing it feels more like themselves.

Gender transition is a personal journey

Photo by Markus Kammermann on Unsplash

Gender transition belongs to the person living it, and there is no single right way to do it. Lynne Young began hers on the cusp of her 70s and says she finally wants to live. L.A. Comber built hers step by step over more than a decade. Carlo Gomez Arteaga spent years in self-acceptance before the outward changes followed. The relentless political debate around transition obscures how quietly ordinary and profound it is in practice: it is, as these three lives show, simply what it looks like when someone gets to be themselves.

A four-year-old in her mother's slip

Lynne Young's earliest memory is of being four years old and trying on one of her mother's slips. Her mother walked in. Lynne remembers the smile on her mother's face, and then nothing at all for fifteen or twenty minutes, until she found herself in a car driving down the street. She doesn't know what happened in that gap, only that something made her push her feelings down so thoroughly that she would spend the next six and a half decades doing so.

On the cusp of her 70s, having felt suicidal every single day for decades, Lynne finally began her transition. Six months in, something shifted. "I suddenly didn't think about suicide anymore," she told the San Francisco Examiner. "I actually wanted to live." Two years on from that, she is preparing for facial feminisation surgery and says she wants it all: "I don't care about the pain. Let's do it."

I read that and I felt it land. Here is a woman who spent nearly seven decades in a life that was not quite hers, and who is now, in her eighth decade, choosing to live it properly. If anybody ever tries to tell you that there is an age by which someone should have worked out who they are, point them at Lynne. She knew at four. The world just didn't give her anywhere safe to put that knowledge for another sixty-six years.

Building it piece by piece

L.A. Comber's story is a different shape, but no less her own. She began her transition more than ten years ago after moving to San Francisco from the Philippines. She started with hormone therapy, sourcing a six-month supply of medication from friends in Asia for fifty dollars, carried back "like goodies, like snacks." Then facial feminisation surgery, which she describes as the most impactful step: "I just saw a man in the mirror every single day." The swelling took at least a year to go down fully. Now she's considering body-feminisation procedures to add to her hips, but she has never wanted genital surgery. "I never really felt like that would make me feel complete. Right now, I'm the most confident I've ever been."

That sentence is worth pausing on. She is the most confident she has ever been, and she made her own choices about what transition meant for her. No checklist, no required endpoint, no procedure she felt she owed anyone. Just the steps that helped her feel fully herself, chosen freely and in her own order. She now uses her platform to share what she knows with other trans women who might be navigating the same questions without the information they need, because, as she says, "a lot of girls take their lives because they're not able to look the way that they want to." That is advocacy born directly from experience, and it is worth more than any awareness campaign.

The mental journey that never really ends

Carlo Gomez Arteaga, co-executive director of the Transgender District in San Francisco, grew up knowing he was queer. He took after his dad, wore pants, cut his hair short, while his twin sister was more feminine. But it would take until his late thirties and early forties to come out as transgender, and even then the internal work had barely started. A ten-year depression. The death of his father. Questions about who he was and where he belonged in the world. He shifted from they/them pronouns to he/him, and he describes what followed as "this self-acceptance of my being, of my soul, of my love for myself."

He put it simply and exactly right: "Nature takes its time. For me, it took that long, however long it took. For some folks it might just be a few months, a few weeks. For others, it could be years." There is no correct speed. There is only your speed.

What the political noise drowns out

These three people are living through a political moment that is making transition harder, more expensive, and more frightening for trans Americans. The Trump administration has moved to cut Medicare and Medicaid funding from hospitals providing gender-affirming care to young people. Gender-affirming care no longer counts as an essential health benefit in many Affordable Care Act plans. Kaiser has paused care for youth under 19 in San Francisco. Stanford Medicine has done the same. Children's Hospital Los Angeles formally closed its centre for gender-affirming care. These are not abstract policy shifts; they are closed doors in front of real people at the moment they need help most.

Suzanne Ford, executive director of SF Pride and a member of the trans community herself, described what is happening plainly: a coordinated effort to restrict rights, limit access to healthcare, and push people out of public life simply for being who they are. She is right. And the historical record is equally plain: when rights are stripped from one group, others are not far behind.

But here is what the political noise obscures. Transition is not an ideological position. It is what happens when a person finally stops pretending. It is Lynne Young realising, six months into hormones, that she wanted to live. It is L.A. Comber looking in a mirror and recognising herself for the first time. It is Carlo Gomez Arteaga reclaiming his soul after ten years in a depression. These are not culture-war talking points. They are human beings, getting on with their lives.

There is no single right way

The thing I want everyone to take from these three stories is this: there is no correct version of gender transition. There is no right age to start, no required set of medical steps, no destination you owe anyone, no proof you must produce that your identity is real enough to deserve care. Some people want surgery; some don't. Some begin with hormones; some never take them. Some know at four; some work it out at sixty-eight. All of it is valid, all of it counts, and none of it belongs to anyone except the person living it.

The world is very loud right now about trans people, and very little of that noise is about Lynne or L.A. or Carlo. I think that is worth noticing. Because Lynne and L.A. and Carlo are the actual story. The noise is just noise.

If there is a news story you would like me to cover then just let Sammy know.

Dr Helen Webberley is a Gender Specialist, writer, and advocate, and the founder of GenderGP. She writes about gender diversity, trans healthcare, and the lives at the centre of both.

In response toGender transition is a personal journeySan Francisco Examiner

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