This one can exist in an intersexed person; however, it basically means that the inside, or gender identity, doesn't match the outside, or the physical characteristics. It's possible for transgendered people to be born hermaphrodites and have surgery early in life to have a physical sexual identity assigned. However, if given the wrong genitalia, then the person may feel "wrong" and require gender reassignment later in life. Transsexual people identify as a member of the opposite sex and choose to live their lives as that sex. They may or may not undergo the process of gender reassignment therapy, hormone replacement therapy and/or sex reassignment therapy. And finally, cross dressers may be none of the above – he or she may simply enjoy wearing the clothing and taking on the look of the opposite sex.