You can tell a difference in them from the very first month. Once they have been given permission to be a woman, the depression lifts.

Some people decide never to have surgery to save a marriage or a career. They try to live with it in subtle ways: Wearing women's underwear, using clear nail polish or colorless lip gloss.

But they see themselves as women who are interested in men. They are not men interested in other men. After their surgery, they can have a perfectly normal relationship with a man.

It's not a mental illness, it's a medical condition.

I have given them permission to talk to Karl.

We have given them permission to use that slogan. If they're so inclined to use it, we would be delighted.