'Transsexual' describes a person, male or female, born with a congenital neurological intersex condition (Benjamin's syndrome). Although transsexualism almost always requires some form of medical intervention up to and including genital surgery, it is not defined by, nor restricted to, that treatment. Transsexualism is still thought by many people to be a psychiatric condition, even though most transsexuals are perfectly sane and rational and recent research has shown that the condition has a physical basis --- that the 'female brain in a male body' is a biological reality. Nevertheless, in most countries the person in overall charge of a gender reassignment ('sex-change') will be a consultant psychiatrist. The psychiatrist's role is to ensure that the patient is sane, really is transsexual, and is mentally stable enough to make the necessary adaptation to the new gender role. A staggering 41 percent of transgender people in the United States have attempted to commit suicide, according to a new survey. About 19 percent of transgender people report being refused medical care because of their gender-nonconforming status, and a shocking 2 percent have been violently assaulted in a doctor's office.