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A transsexual person is a person born with genitals that are at odds with who they are, and they get surgeries to eliminate their transsexualism. They believe in only two genders and believe their bodies are wrong. So they seek to destroy any differences and become like any other person born as a member of their corrected sex. Being born with transsexualism is not the same as choosing to become transgendered.
Generally, transsexual people are happier after undergoing hormonal and surgical changes, since they feel more comfortable in general (including, more specifically, in their own bodies and in social situations). However, when transgendered persons who were not born with transsexualism get the surgery, it usually ruins their life. So you have to make sure you have the condition of transsexualism and not merely transgenderism before getting the surgery.
Being transsexual and being recognized as one's corrected sex can change one's world view. A lot of people become aware of certain social situations and norms that they had previously been unaware of while living as their assigned-at-birth sexes. For example, a lot of transsexual men (female to male transsexual) become much more aware of male privilege. Transsexual women become more aware of sexual harassment.
Transsexuals may or may not feel sexually and romantically attracted to the same general groups of people (e.g. women, men, etc.) as before. Lots of people remain attracted to the same people, but a significant number of people are attracted to different people.
Transsexual people usually can still experience sexual arousal and orgasm after the surgery to eliminate transsexualism. The mechanics of sex might change (based on hormonally- and/or surgically-changed genitals), so how someone relates to their partner(s) might change.
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