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: Research on voice and appearance suggests that "femaleness" is often rated higher when judged visually than by voice alone, as pitch remains a decisive factor in gender perception.

Surgical interventions, such as vaginoplasty, are generally associated with high levels of satisfaction: rate shemales

: A long-term study at a university gender clinic found that total mortality in MtF transsexuals was 51% higher than in the general population, largely attributed to increased rates of suicide, AIDS, and cardiovascular disease. : Research on voice and appearance suggests that

Studies have examined how MtF individuals are perceived and how they navigate social binaries: such as vaginoplasty