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Female-to-male or (FTM) refers to someone who was born with female genitals but identifies as male.

Transsexual men may seek medical interventions such as hormones and surgery to make their bodies as congruent as possible with their gender presentation. However, many transgender and transsexual men cannot afford or choose not to undergo surgery or hormone replacement therapy.

Transitioning might involve some or all of the following steps:

  • Social transition: name change, wearing clothing seen as gender appropriate, disclosure to family, friends and usually at the workplace
  • Sex reassignment therapy: hormone replacement therapy (HRT), and/or surgery
  • Legal affirmation: name and (sometimes) sex marker correction in legal identification documents.

Being socially accepted as male (sometimes known as passing) may be challenging for trans men who have not undergone HRT and/or surgery. Some trans men may choose to present as female in certain social situations (e.g. at work). After physical transition, trans men usually live full-time as male.

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