From birth children are presented with feminine mothers and masculine fathers. They learn to differentiate boys from girls and by about 5 years of age they understand the permanence of gender. Boys would never grow up to be mummies nor girls daddies. Parents and society condition children into appropriate gender roles until it becomes totally natural. Boys are boys and girls are girls and they are different. What if a child never feels natural in their learned gender performance? They feel different, they feel alone and they feel confused. Sometimes they struggle on performing their assigned gender, sometimes they find a role model who has rejected the gender binary, and sometimes they naturally associate with and emulate the opposite sex. Sometimes they suicide. Transition across genders is always fraught with isolation, loneliness, confusion and indecision. It’s a journey that is ultimately always taken alone.