Table 1.

Post transition topics.

Alias	Open in	Gains due to the transition (quotes by participants)	Losses due to the transition (quotes by participants)
Johan	Public	I am fully accepted and appreciated, and I have found a place in society	Nothing
Paul	Private	I am a bit more myself and at ease	The difficulty finding a partner
Frans	Function	Life is much easier now	My old name
Joop	Public	What I see in the mirror matches the self-image that I always had	Being a woman
Fred	Public	It has made me much happier	Possibility to give birth to children
Cor	Public	I'm really free, a lot happier	My sex drive
Marti	Private	I am really satisfied with my life and before [the transition] I was not	I can't cry anymore
Lars	Private	I did not expect the impact, for the first time I was self-confident
Rinus	Function	Self-confidence	Confided contacts with women
Sven	Public	I feel I really can be myself	My relationship
Claire	Public	I am more vulnerable and stronger, I have a lot of courage	My sex drive
Cora	Public	I won my unknown self	My dear wife
Carla	Public	I have become self-aware, and I have grown socially and emotionally	Anonymity
Jannie	Function	The transition has made me much more open	My career, making love with my wife
Solveig	Function	All the ballast is off, the transition has given a lot of space in my head	I lost myself as a guy
Babs	Function	Coming home to myself, that is the most important and essential result
Els	Public	I feel comfortable in my body now	Nothing
Fabienne	Function	I can express myself freely the way I want to	A job
Francien	Function	I'm not that sad anymore	Being a man
Saskia	Function	I just feel better now that I can live as a woman. I am more friendly nowadays	People around me dropped out