My goal as I tell Ryan's story is to convince you that discipleship must be centered on the gospel. The Handicapped Transsexual Perhaps you are in a wheelchair, or perhaps you have a chronic disease. He was instructed to, and forced himself to never, ever be impolite, or angry, or rude in public, regardless of what was said or done to him. You cannot tell how well you will turn out after only a single year, or even sometimes two. Although you may recognize that your mind is a given gender, and you may have many expressions of that internal, mental sex, that are obvious to yourself and others, you must understand that you have missed out on years and years of social conditioning. Transsexuals themselves overwhelmingly reject the theory,  with evolutionary biologist and trans woman Julia Serano writing that "Blanchard's controversial theory is built upon a number of incorrect and unfounded assumptions, and there are many methodological flaws in the data he offers to support it. That means that your body is going to be flooded with hormones, more than it is evolved to handle. You simply have to lie down and breath deeply for a few seconds, then endure days of horrific pain, gore, and the healing process. The gospel doesn't just make you right with God; it frees you to delight in God. Individuals with this condition are typically raised as females due to their feminine appearance at a young age. SRS is the icing on the cake.