“…Some may choose to undergo physical transformations by using hormonal therapy and surgery, while others may be satisfied with only one or the other [ 20 ]. Studies have shown transition leads to healthier self-image, lower depression rates [ 12 , 21 , 22 ] improved attitude towards life, extraversion, good stress coping ability, optimism, improved quality of life, self-reported well-being, social relationships, elevated self-esteem, and body image [ 12 , 20 , [23] , [24] , [25] , [26] , [27] ]…”