Based on the author's experience in treating over 600 gender dysphoric, transgender, individuals over the last 31 years,The Gendered Self is the story of what it’s like to be born into and live out one's life as a transsexual in a cissexual world. The author starts by showing how the developing brain is genderized in-utero and how that process can go awry leaving affected individuals sex/gender incongruent. Treatment limits and options are discussed followed by several chapters of what post sugery life is like. Transsexualism is a life long existential dilemma challenging the very nature of psychological survival. Nietzsche famously said "What does not kill you makes you stronger". As the author shows, developing a healthy transsexual identity and going on to live a meaningful life is certainly a testament to all who persist.