THEY live on the fringes, shunning attention, like this Singaporean transsexual.
Jack (not his real name) was born more of a Jill
Only last month did he and three others summon enough courage to tell their story at an open forum.
The forum, the first of its kind, was organised by SgButterfly, a groupfor transsexuals here.
The speakers were all born women and want or subsequently got a sex change.
According to one study, there are far more men who seek to be women (transwomen) than the other way around (transmen).
Psychiatric study
A 1988 study by psychiatrist Tsoi Wing Foo estimated that there is one transman for every 8,300 Singaporeans and one transwoman for every 2,900 Singaporeans.
The National University Hospital (NUH) has seen 15 sex change operations from 2003 to last year.
Jack, 27, was so determined to become a man that he started undergoing male hormone injections. He eventually went for sex reassignment surgery at NUH.
'I would rather die as an ugly man than as a handsome girl,' he said.
He said he felt uncomfortable with his female body from an early age. In his adolescence, he was repulsed by the thought of wearing girly clothes and shoes.
He attended a girls' school and described himself as a 'typical butch' - a lesbian with masculine traits.
He had short hair, liked girls and felt uncomfortable around boys. 'I didn't know how to behave when I was with them,' he said.
While studying in a local university, he felt that he could not be a 'butch' forever.
He said: 'I felt that when I started working, I would either have to be more feminine, or more masculine.'
Jack saw a psychiatrist and was diagnosed with gender identity disorder, which he describes as 'a mental illness that takes a physical cure'.
Another doctor who Jack saw suggested that he drop the sex change idea and try to meet men instead.
It was only after considerable effort that he managed to find a doctor here who supported his decision to change his sex.
The process of telling family and friends was the hardest part of the transition. Many asked why he wanted to be a 'cannot-make-it-Singapore-guy'.
The first time he told his mother, she replied that everything was in his head and he didn't have this 'illness'.
But others, like his brother, who is straight, were more receptive, .
It took two years for Jack's mother to accept him completely. He said: 'She now tells people she has two sons.'
At work, he also faced discrimination initially, with colleagues using 'her' to refer to him. He now has a girlfriend and is active in the lesbian community.
On his experience, he said: 'I get to see things from both genders' (points of view).'
But he hesitates to give advice to others who want to take the same tough route.
Jack said: 'Undergoing a sex change is a personal decision, so I would want others to think carefully before they actually decide to do so.'
Another forum speaker, Daniel (not his real name), is a 20-something now undergoing hormone replacement therapy.
He wants to go for a sex change operation in six months and change the sex listed on his identity card so that he can marry his girlfriend, which he hopes will happen next year. They have been dating for six months.
IC and marriage
Singapore is one of the few countries in Asia to legalise gender change on identity cards, but it will only do so after genital surgery.
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