Courtney Penniman of Arizona, is a transgender male who changed genders in February 2012. Studies indicate that approximately 1% of the world’s population is transsexual. As part of his gender transition, Mr. Penniman sought counseling with a mental health professional. He also lived as the target gender for a trial period and learned about the available options and the effects of various medical treatments. After the trial period living as a man and becoming comfortable with it, he underwent approved hormone therapy for gender transition and became more congruent with his sense of self.