Not all transgender persons have gender dysphoria.
Transgender is an umbrella term that encompasses many identities (e.g., male-to-female, female-to male, cross dresser, cisgender, gender fluid), all of which challenge conventional/traditional gender expectations. Many persons who are transgender do not experience distress/discomfort related to their identity/experience. For transgender persons who do experience distress/discomfort, gender dysphoria may be present.
Gender dysphoria is complex.
Among adults, gender dysphoria is related to a strong and persistent belief that there is an incongruence between their experienced/expressed gender and their sex characteristics, and/or that they have the typical feelings/reactions of the other gender. These beliefs are accompanied by strong and persistent desires as well. These desires can include: wanting to be the other gender, wanting to be treated as the other gender by others, and wanting to have sex characteristics of the other gender rather than one’s own. (Due to developmental differences, children and adolescents experience gender dysphoria differently than adults.)
Gender transition is a process of affirmation.
There are three primary paths of gender transition. For some, the exploration and pursuit of one path is desirable. Whereas for others, two or more paths is the preferred choice.
The journey on each path, to include experienced rewards and challenges, is unique to each person: