Surgical interventions, such as vaginoplasty, are generally associated with high levels of satisfaction:
: Research on voice and appearance suggests that "femaleness" is often rated higher when judged visually than by voice alone, as pitch remains a decisive factor in gender perception. rate shemales
Studies have examined how MtF individuals are perceived and how they navigate social binaries: Physical and Social Characteristics : A long-term study
: Individuals under cross-sex hormonal treatment report significantly lower levels of social distress , anxiety, and depression compared to those who have not initiated therapy. 2. Physical and Social Characteristics and cardiovascular disease.
: A long-term study at a university gender clinic found that total mortality in MtF transsexuals was 51% higher than in the general population, largely attributed to increased rates of suicide, AIDS, and cardiovascular disease.