The book was published in 1960, so it reflects how scientists perceived transgender people at that time, and it illustrates the challenges that our transgender sisters had to face.
Look at this: "Physician Kenneth Walker, M.D. says, "The obstacles standing in the way of surgical treatment are formidable. In the first place, there are few surgeons capable of carrying out the series of plastic operations required to bring about an external change of sex. In the second place, many of those who now clamour for surgical treatment would hastily withdraw their candidature if they were to be told precisely what it entailed. In the third place the legality of the conversation operation is debatable."
"Dr. Walker then goes on to say that, It must be borne in mind that all the surgeon manages to do if he consents to operate on these cases is to change the secondary sex characteristics and the external genitalia so that the patient may be able to live the kind of life he or she is anxious to live. Sex is genetically determined and this cannot be altered. There is no reason to believe that conism is an indication that the patient comes from a degenerate stock. The mentality of many of these people is well above the average level, and some are particularly distinguished members of their profession."
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