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Transitioning Later in Life

Early in October, Ruth Rose went on holiday to Corfu with a group of female friends she had known for years. They swam in the sea every day, making the most of the late summer sunshine. On the last morning before flying home to England, the women took one last swim and skinny-dipped so as not to have to pack their costumes away wet.

Such adventures would once have been unthinkable for Rose. But the surgery she underwent at the age of 81 has opened doors she would never have thought possible. “In some ways it’s like having new hips after being told you would be condemned to arthritis for the rest of your life,” she says. “You do it, and life begins again. And that’s what happened to me. Age has nothing to do with it.”

When we read about people transitioning gender, the focus is often on teenagers; in an emotive debate about access to school changing rooms and Guides camping trips, older trans people are rendered almost invisible. Yet there are more than five times as many adult as child gender identity patients in the UK. Some are now having gender reassignment surgery not just in late middle age, but well into retirement.

The numbers remain tiny, but they are rising; according to the NHS, 75 people aged between 61 and 71 had gender reassignment operations in the seven years to 2015-16, and that’s not counting people who quietly transition without surgery. These trans baby boomers are now beginning to challenge received ideas not just about gender but age, and the capacity of older people to live bold, adventurous lives. “I think people need to learn quite fast that older people no longer all fit the white-haired granny stereotype,” says Jane Vass, the head of public policy at Age UK. The charity recently published advice to older people who are transitioning, covering everything from the impact on state pension ages to what to write on death certificates.

“If it was ever true that older people were all the same, it’s certainly not now. And yet we still seem to respond as a society to a very narrow view of what ageing is,” adds Vass. Later life is full of changes, she points out, from the end of a career to the death of a spouse. Why wouldn’t it also be a time in which people embrace opportunities denied them in the past, before it’s too late?

It’s perhaps only now that many older people feel comfortable coming out, having grown up in a time when being trans was so steeped in shame and silence that many couldn’t even put a name to what they felt. “I remember as a child thinking, am I unique? Am I strangely perverted?” says Christine Burns, the 64-year-old trans activist and author of the social history Trans Britain: Our Journey From The Shadows. It was only in the 1960s, when the Sunday People newspaper began salaciously to out trans people – most famously the Vogue model April Ashley – that she understood she was not alone. “To see those stories, egregious as they were, helped in a sense. I always say that, on that Sunday morning, I learned there was a name for people like me, but also that it was worse than I feared.”

Half a century on, trans people undoubtedly still experience stigma and discrimination. Fierce debate about proposed changes to the Gender Recognition Act, which could enable people to identify themselves as trans rather than going through a drawn-out process of medical and psychiatric assessment, has turned trans acceptance into a political football. But for those raised in an era when men could be arrested just for wearing women’s clothes in public, the thaw in public attitudes is still striking. “When I first came out [in the 1970s], I got reported to the police and my employer, for being in charge of a company vehicle dressed as a woman,” recalls Jenny-Anne Bishop, the chair of the support group Trans Forum, who had gender reassignment surgery at the age of 59. “Now I’m as likely to have lunch with the chief constable to discuss hate crime reporting. It’s changed that much.”

Ruth Rose was around nine when she realised she had what she thought must be “some sort of sexual aberration”. Hoping it would go away, she went through an all-boys public school, did national service in the Royal Air Force, began a career in mechanical engineering, married and had three children. It was only in her 30s that she began to hear about sex-change operations, as they were known, but even then the idea seemed fantastical.


She eventually met others in the same situation via the Beaumont Society, a support group set up in 1966 for cross-dressers, which also attracted trans people. Once a month, they would meet for dinner in a restaurant in Fulham, London. “There was one young man whose sister dressed him and made him up, who went out with no fear at all, travelling on the tube and things. There were others who crept from their cars in the next side street,” she recalls. “There were two little old ladies who brought their knitting and had the most amazing adventures.”

By this time, Rose’s wife had discovered her secret, and was “just about tolerant” of her dressing as a woman occasionally and discreetly. But permanent transition did not feel like an option. “I thought, it must cost thousands of pounds and I can’t do it – I’ve got responsibilities to my family.”

It was only after the children were grown up and the couple amicably divorced that Rose, now in her 60s, moved to a new town and began, increasingly, to live as a woman. At first, she still wore a suit for the voluntary work she did, although gradually that, too, began to change. For a while she kept male clothes for hospital appointments for her arthritis. She last dressed as a man when her former wife was ill; Rose went to make dinner for her every night in male clothes because, even though they were on reasonably friendly terms, her ex-wife didn’t like seeing her dressed as a woman.

Rose was in her 70s when her doctor finally suggested surgery. “At my age I wouldn’t have considered it, but when I went to the clinic at Charing Cross, you have to see two psychiatrists and the first one, after 10 minutes, said: ‘As far as I’m concerned, you are absolutely right for it.’”
Dr Hope Sherie - Point of Pride Sponsor
By Lisa Dye 19 Oct, 2019
Point of Pride is a non -profit that works to benefit trans people in need through gender-affirming support programs that empower them to live more authentically. Website: pointofpride.org “A special thank you to Dr. Hope Sherie and the team at The Cosmetic Concierge for their generous support of Point of Pride’s Annual #Transgender Surgery Fund and other programs and services that support #trans folks in need! Dr. Sherie is not only one of the leading surgery experts for a number of gender-affirming procedures but also generously gives back to the community she serves. “ – Point of Pride
Dr. Sherie - 2nd Annual Live Surgery Training Course for Live Procedures in New York
By Lisa Dye 19 Oct, 2019
Dr.Sherie recently attended the WPATH Surgery Conference in New York, NY. It was an invaluable opportunity to discuss collaboration and share experiences with accomplished colleagues like Drs. Paul Weiss and Sherman Leis. We have so much work to do in advancing gender affirming surgical options for our patients.
By Lisa Dye 08 Jan, 2019
Read the article here: https://www.ftmsurgery.net/body-masculinization-surgery/
By Lisa Dye 02 Dec, 2016
We are proud to be a Santa’s Helper Sponsor of this year’s TWIRL TO THE WORLD Holiday Party & Fundraiser Benefiting Campus Pride & Smart Start of Mecklenburg County!
By Lisa Dye 21 Nov, 2016
We have changed the name of our unique liposculpting package for transmen to MaleMorph. Please note that Dr. Sherie’s hi-definition VASER liposuction procedures are unique to her practice. Schedule your consultation today!
By Lisa Dye 19 Sep, 2016
Cosmetic Concierge would like to thank psychologist David Bathory for inviting Dr. Sherie to be the first guest at his Transgender Surgeon Series in Winston-Salem. Dr. Sherie had a great time talking to David’s group and getting to see some old friends as well. The event was titled “An Evening With Dr. Hope Sherie” and was the first of a series of surgeon presentations he has lined up for his Trans Support Group.
By Lisa Dye 06 Jun, 2016
The mission of the Philadelphia Trans Health Conference (PTHC) is to educate and empower trans individuals on issues of health and well-being; educate and inform allies and health service providers; and facilitate networking, community-building, and systemic change. We strive to create an accessible and respectful environment that is inclusive of diverse gender-identities and expressions as well as inclusive of diverse opinions and ideas. Now in its fifteenth year, PTHC proudly offers a space for trans people and our allies, families, and providers to come together to re-envision what health means for trans people. Further, PTHC recognizes that accessible and quality healthcare is an integral part of self-determining our bodies and identities in the larger world. As much as possible, PTHC strives to ensure that the conference addresses the diverse needs of all people who identify as trans or beyond the binary gender system, as well as our partners, families, and allies. In addition, in an effort to increase the availability of quality, culturally-competent care for transgender communities, PTHC also provides a Professional Development track for medical providers, behavioral health professionals, and lawyers. We are committed to making the conference as inclusive and accessible as possible. Therefore, the Philadelphia Trans Health Conference charges no general conference registration fee.
By Lisa Dye 01 Jun, 2016
The Mecklenburg Psychology Association ( MPA ) invited Cosmetic Concierge to participate in the “Trans 101” panel presentation to their members. The discussions were enlightening and we believe this kind of interdisciplinary activity is the key to offering world class services to the whole Charlotte community.
By Lisa Dye 09 May, 2016
Our Charlotte neighbors are truly “Dispensing Hope” by providing prescription medications and medical supplies to the 360,000 uninsured citizens of NC! Thank you NC MedAssist, Novant Health, and all other sponsors for hosting this luncheon. 8% of the uninsured citizens in America live in North Carolina. Until changes are made to medicare laws, we will continue to try and care for one another in the meantime. The Cosmetic Concierge team is dedicated to giving professional care to ALL patients by providing flexible payment plans/options, community giveback initiatives, and truly caring about each individual we meet.
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