Natal males who become females are often unconvincing as women when clothed because of their height and the thickness of their bones; however, their postoperative genitalia, sexual response, and urination patterns can be almost identical to those of genetic females. Natal females who transition can usually pass in public once they develop facial and body hair, deep voices, and, in many instances, male-pattern baldness, but their sex organs are noticeably different from the genuine article; most cannot urinate while standing up, and none can achieve a male orgasm.

