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"I include them in my transition costs because of the lack of access to care, underemployment, anxiety and weight gain, all as a result of being trans." In a recent report issued by the Center for American Progress, transgender people experience unemployment at twice the rate of the population as a whole.Mc Cormack is still waiting on "top" surgery, after having completed hormone therapy, and has researched physicians based on price and procedures offered.According to The Philadelphia Center for Transgender Surgery, these surgeries, (along with a cosmetic procedure to complete the effect, such as rhinoplasty) cost approximately ,000.A female transitioning to a male may elect for top procedures such as the removal of breasts with a bilateral mastectomy, then reconstructive surgery to simulate a more masculine chest.Both men and women receive hormone therapy and extensive counseling before any medical procedure is performed, with ,000 being a low annual estimate.Add extra cosmetic work to the mix -- such as a tracheal shave to pare down an Adam's apple for a more feminine look or buttock reduction to attain a mannish posterior -- and the cost escalates.Most who want gender reassignment will not let anything get in their way, contends Mc Cormack.

Transgender, as defined by Merriam-Webster, is "relating to, or being a person who identifies with or expresses a gender identity that differs from the one which corresponds to the person's sex at birth." Which is where sex reconstruction surgery (SRS) comes in. But to simplify, think upper and lower body modifications -- commonly referred to as top and bottom procedures.Securing a steady position has been tough, though, so he's now starting his own consulting business."My transition-related costs are 0,000, when I include things like gallbladder surgery and concerns with my back," says Mc Cormack.In reality, the total outlay can be far higher than many anticipate or can realistically afford.Hidden expenses arise Aidan Mc Cormack, 36, from Chicago, began life as a biological female.

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