In order for a feminine boy to become transsexual, something extra must happen. What is the something extra? - J. Michael Bailey

Autogynephilic transsexuals are not "women in men's bodies" (Anne Lawrence, a physician and sex researcher who is herself a postoperative transsexual, has called them "men trapped in men's bodies").

The contention that homosexual orientation (as distinct from homosexual behavior) is a recent and local phenomenon is not supported by the evidence. Men who look awfully similar to the men I’ve been talking about in previous chapters seem to have existed through the ages and in vastly different cultures. Social constructionists’ refusal or inability to see this suggests that they are trying to keep their eyes closed.

The two types of transsexuals who begin life as males are called homosexual and autogynephilic ... homosexual transsexuals are extremely feminine gay men, and autogynephilic transsexuals are men erotically obsessed with the image of themselves as women.