“…Hence, just as the healthy endpoint of sexual identity development was once presumed to be a stable, integrated, unambiguous lesbian, gay, or heterosexual identity (Cass 1979;Coleman 1981Coleman / 1982Lee 1977;Minton and McDonald 1983;Mohr and Fassinger 2000;Troiden 1979), the normative and healthy endpoint of transgender development is often thought to be adoption of a stable, integrated, unambiguous identification as 100% male or 100% female, often achieved via some form of physical transformation (for example some combination of clothes, makeup, demeanor, hormones, or surgery) aimed at bringing one's psychological gender and one's physical gender presentation into direct alignment (for reviews and critiques see Bornstein 1994;Roen 2002). …”