I know it is widely accepted that you are born trans. That hormones just screwes you over in the womb. I for one support this theory. I also believe that the environment we were raised in can affect us as well. Imagine being raised in a situation where you were told that a male/female had to act in a certain way, and if you stepped outside the accepted parameters than you were horribly belittled. So a girl not acting a girl enough. Now add on to that this girl being well end owned in the chest area. From a young age the girl was picked on for the size of her boons, and which each cup size it only got worse. This was a source of great angst and depression for her. Eventually she just wanted to get rid of them all together, of course conflicting with this is the fact that men like women with boobs. Girl is torn, but in the end she always comes back to wanting them gone all together. She was jealous of those who lost their to breast cancer, she could not see why they were so upset over the lose of them. The more she thought about such things the more she wanted a hysto as well. Periods were a pain and she didn't ever plan on having kids. Child birth was more pain and trouble than she was willing to go through. At this time she wished she had simple been born male. She was a failure of a girl. As she grows into an adult the thought stays with her. She knew a male body would not make her a 100% happy, but neither would the female body. The girl started feeling that she was genderless, gender did not feel real but a mere mental and social construct. The girl wants to transition. Remove parts of her body, take hormones to reduce curves, get rid of being called she. In this way she is trans, though others would beg to say other wise. Of course this is just one example.