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One perspective offered by transsexual people who reject a transgender label for that of transsexed is that, for people who have gone through sexual reassignment surgery, their anatomical sex has been altered, whilst their gender remains constant.

Historically, one reason some people preferred transsexual to transgender is that the medical community in the 1950s through the 1980s encouraged a distinction between the terms that would only allow the former access to medical treatment.

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The word transsexual is most often used as an adjective rather than a noun – a "transsexual person" rather than simply "a transsexual".

Like other trans people, transsexual people prefer to be referred to by the gender pronouns and terms associated with their gender identity.

True transsexuals feel that they belong to the other sex, they want to be and function as members of the opposite sex, not only to appear as such.

For them, their sex organs, the primary (testes) as well as the secondary (penis and others) are disgusting deformities that must be changed by the surgeon's knife.

Benjamin gave certifying letters to his MTF transsexual patients that stated "Their anatomical sex, that is to say, the body, is male.