In my opinion, Ms. Hausman's book is an outstanding read that looks crtitically not at the transsexual community, but at different scientific sectors (beginning with endocrinologists), and the way in which they shaped the concept of transsexualism as it existed at the end of World War II. It seems to me that the other reviewers here failed to actually look at Ms. Hausman's main argument. In her analysis, the author is not villifying transsexuals but rather the scientific and medical communities. Rather than attacking the construct of gender, Ms. Hausman is going a step further and attacking the idea of *sex* as a constricting dichotomy that doctors and scientists put forth as "truth." By deconstructing this hegemonic notion, Ms. Hausman asserts that the scientific and medical sectors created the 'need' for "sex change" as it was understood when the term was created circa 1940. Also, unlike what other reviewers have said here, Ms. Hausman does acknowledge the fact that forms of 'sex change' have existed throughout human history; however, she realizes that the term 'transsexual' is a modern one, as are the concepts now associated with it, and thus a direct comparison between modern sex change and that of antiquity is neither applicable nor appropriate.I believe it is true that any social idea needs to be analyzed within a historical context, and Ms. Hausman succeeds admirably. She looks specifically at the way in which the evolution of language and understanding within the scientific community have shaped the understanding, and even the identity construct, of transsexualism. Hausman argues that the scientific community has forced transsexuals to adjust to its ideologies; therefore, as a predominantly homophobic community (especially back in the '50s), doctors *required* that their transsexual patients assume a heterosexual lifestyle post-surgery. This is not the case today, nor is this what Hausman is suggesting.Ultimately, I would say that Hausman views early transsexuals as the victims of the medical hegemony that presents the notion of sex as truth. Although this may still be insulting, it is very different from being "anti-trans" or "hateful toward transsexuals." I find this argument (attacking the notion of sex and the way in which everyone in our society is indoctrinated to accept the body as dichotomous) is much more critical of greater society, and affects everyone who complies with this contructed binary