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Not if you know where to look. No matter how feminine in any other way, a guy is different from a girl in having an Adam's apple in his throat. I don't know why we have it; as far as I am aware, doctors who perform sex changes can't do anything about it. So, if in doubt, just look at the person's throat.

Edited:

"It's a simple operation to shave the Adam's apple. Most gender reassignments get this done. Men can grow breasts through taking hormones, have hip implants, facial surgery, a whole lot of operations are available now.

Harder things to do are to reduce the size of feet/hands/fingers which can be an indicator but still not guaranteed.

If you do get intimate a lack of moisture down below and a slightly "hollow" feel to your partner's new private area is an indicator. The best sign I ever found was the "smell" quite laterally of a Ladyboy is much different to a real woman. That is one thing that doesn't change.

A man will always give off a different scent and pheromone to a woman. It's subtle and you need to be very tuned in to spot it. 20 vodkas and a kebab will not assist your sensory perception however.

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Q: Is it hard to spot a sex change from a man to woman?
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