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Before and After: Class and Body Transformations
 
TRANSSEXUAL LIVES ARE full of obstacles—childhood isolation, denial, depression, coming out, and managing our gender difference in a less than hospitable world. We have to navigate the legal limbo that surrounds what “sex” appears on our driver’s licenses and passports, which restrooms we can safely use, and who we are allowed to marry. Many of us face workplace discrimination, police harassment, and the constant threat of violence. Yet the media focuses very little on any of this. Instead, TV shows and documentaries about transsexuals tend to focus rather exclusively on one particular aspect of our lives: our physical transitions.
Such transition-focused programs always seem to follow the same format, which includes rigorous discussions of all of the medical procedures involved (hormones, surgeries, electrolysis, etc.) and plenty of the requisite before-and-after shots. Before I transitioned, I found these programs predictable and formulaic, but I also found them helpful to a certain extent. As someone who had often thought about changing my sex, they gave me a certain understanding of what I might be able to expect if I were to pursue such a path myself. But of course, I was a demographic anomaly. Clearly these shows were being made by and for people who did not identify with the trans person in the program and who were not contemplating sex reassignment themselves. Back then, I never really questioned why a non-trans audience might be so interested in the minutiae of the transitioning process and trans-related medical procedures.
Now, after five years of living as an out transsexual, I have come to realize that these documentaries and TV programs reveal an even deeper underlying compulsion on the part of many cissexual people, one that goes way beyond natural curiosity, to dwell almost exclusively on the physical aspects of the transition process when contemplating transsexuality. Like most transsexuals, I have scores of anecdotes that highlight this tendency: During the question and answer session at a literary event, after reading a piece about the murder of trans woman Gwen Araujo, I was asked by an audience member if I had any electrolysis done on my face; after I did a workshop for college students on binary gender norms and the way we project our ideals about gender onto other people, a young woman asked me several questions about whether or not I’d had a “sex change operation”; after creating switchhitter.net, my coming-out-as-trans website, I received an angry email from a stranger complaining that I did not put any before-and-after pictures up on the site, as if the 3,700-word question and answer section and the 4,500-word mini-autobiography describing my experiences being trans wasn’t sufficient for that person to fully grasp my transsexuality—he needed to see the changes firsthand.
Of course, it’s not just strangers who ask to see before-and-after shots of me. When friends, colleagues, or acquaintances find out that I am trans, it is not uncommon for them to ask if I have any “before” pictures they can see, as if I just so happen to keep a boy photo of myself handy, you know, just in case. I usually respond by telling them that before I transitioned I looked exactly like I do now, except that I was a boy. They never seem particularly satisfied with that answer.
The thing that strikes me the most about the desire to see before-and-after pictures, or to hear all of the gory details about sex reassignment procedures, is how bold people often are about it. After all, these people have to know that I felt uncomfortable as male, that it was a difficult and often miserable part of my life. So why on earth would they ask to see pictures of me from that time period? From my perspective, it is as thoughtless as if I had told someone that I was suffering from depression a few years ago and for them to have responded, “Oh, do you have any pictures of yourself from back then?” And really, is there anything more disrespectful and inappropriate than asking someone (in public, no less!) whether they have had any medical procedures performed on their genitals? So what drives these otherwise well-meaning people to want to know about the physical aspects of my transition so badly that they are willing to disregard common courtesy and discretion?
Well, I wasn’t quite sure myself until about two years ago, during the height of the reality TV plastic surgery craze, when shows like Extreme Makeover, The Swan, and I Want a Famous Face filled the airwaves. These shows seemed to be catering to a very similar audience desire: to witness a dramatic physical transformation process replete with before-and-after photos of the subject. Also around that time, gastric bypass surgery began receiving a lot of media attention, and there were numerous programs dedicated to following people who were described as being “morbidly obese” through their surgery and recovery, ending of course with the mandatory before-and-after shots punctuating just how much weight the subjects had lost. On Discovery Health Channel, there is even a series that’s called Plastic Surgery: Before & After, which often combines conventional plastic surgeries and gastric bypasses in the same episode.
What really impressed me about these shows was how similar they are in format to many of the transsexual documentaries I have seen: They feature subjects who are unhappy with their bodies in some way, sympathetic and able doctors who describe the forthcoming procedures in great detail, hospital shots on the day of surgery and immediately afterward, a final scene after full recovery where the subject talks about how happy they are with the results, and side-by-side before-and-after photos that demonstrate the remarkable transformation in its entirety. Sometimes these shows are even set to slightly disturbing music that, when combined with the narrator’s dramatic voice-over, impresses upon the viewer that they are watching something that is simultaneously wondrous and taboo. The only significant difference between many transsexual documentaries and these plastic surgery shows is that the former require a little more background and explanation as to why the subject wants to change their sex in the first place (presumably, the desire to become thinner or more conventionally attractive needs no explanation).
So why do plastic surgeries, gastric bypasses, and sex reassignment procedures receive such similar treatment in these programs? It is not simply because they all portray cutting-edge medical procedures. After all, there are plenty of shows that feature various medical techniques and surgeries, but they are generally far more serious and less sensationalistic in tone. Nor can it be said that the rarity of these procedures leads to the public’s fascination with them. While sex reassignment is still fairly rare, 9.2 million cosmetic plastic surgery procedures and an estimated 140,000 gastric bypass surgeries were performed in 2004.1 It also can’t simply be that these shows depict transformations of some kind. After all, one occasionally sees behind-the-scenes programs about Hollywood makeup artists and costume designers who can drastically change an actor’s appearance, yet they are never given the sensationalistic spin that these other types of transformations receive. There are also plenty of programs that feature nonsurgical makeovers (for example, Queer Eye for the Straight Guy and What Not to Wear), but they tend to have a more laid-back and informative feel, seducing the audience with their you-can-do-this-yourself attitude, in contrast to plastic surgery and sex reassignment shows, which have a far more cold and voyeuristic feel to them. And while a woman who changes her hair color and style, or a man who shaves off his beard, undergoes a significant transformation, one that often leaves them looking like a completely different person, the audience is not encouraged to gawk over their before-and-after pictures in the same way they do with the subjects of plastic surgery and sex reassignment programs.
I would argue that the major reason that plastic surgeries, gastric bypasses, and sex reassignments are all given similar sensationalistic treatments is because the subjects cross what is normally considered an impenetrable class boundary: from unattractive to beautiful, from fat to thin, and in the case of transsexuals, from male to female, or from female to male.
Of course, attractiveness as a class issue permeates much of what we see on TV—it determines who gets to be the protagonist or love interest and who ends up being the nerdy next-door neighbor or comic relief. And while TV advertisements may encourage us to buy various beauty products that are supposed to make us look incrementally more attractive, or dieting and exercising programs that are supposed to help us lose that extra ten, twenty, even forty pounds, it is commonly accepted that we each have certain physical limits that we are unable to overcome, limits that generally determine our social status regarding attractiveness. In fact, the large amount of effort that many of us put into attaining the relatively small improvements in our appearance that are achievable by exercising, dieting, and purchasing beauty products is a testament to how much we are judged (and how we judge others) based on conventional standards of beauty and size. So when somebody does cross those supposedly impassable boundaries, essentially changing their social class from not-so-attractive to stunning, or from “morbidly obese” to thin, it can change our thinking about beauty and attraction.
As a transsexual, I find myself dealing with this same phenomenon all the time, only with gender. Whether people realize it or not, most of us value, treat, and relate to women and men very differently, although not necessarily in a conscious or malicious way. Rather, like our attitudes about beauty and attraction, these prejudices are practically invisible to us, as they are woven into our social fabric. So when I tell someone that I used to be male, they are often dumbfounded at first, as if they have difficulty reconciling that someone who seems so naturally female to them could have once been something they consider to be so completely different. The fact that a single individual can be both female and male, or ugly and beautiful, at different points in their life challenges the commonly held belief that these classes are mutually exclusive and naturally distinct from one another.
Coming face-to-face with an individual who has crossed class barriers of gender or attractiveness can help us recognize the extent to which our own biases, assumptions, and stereotypes create those class systems in the first place. But rather than question our own value judgments or notice the ways that we treat people differently based on their size, beauty, or gender, most of us reflexively react to these situations in a way that reinforces class boundaries: We focus on the presumed “artificiality” of the transformation the subject has undergone. Playing up the “artificial” aspects of the transformation process gives one the impression that the class barrier itself is “natural,” one that could not have been crossed if it were not for modern medical technology. Of course, it is true that plastic surgeries and sex reassignments are “artificial,” but then again so are the exercise bikes we work out on, the antiwrinkle moisturizers we smear on our faces, the dyes we use to color our hair, the clothes we buy to complement our figures, and the TV shows, movies, magazines, and billboards that bombard us with “ideal” images of gender, size, and beauty that set the standards that we try to live up to in the first place. The class systems based on attractiveness and gender are extraordinarily “artificial”—yet only those practices that seem to subvert those classes (rather than reaffirm them) are ever characterized as such.
Shows depicting plastic surgery, gastric bypasses, and sex reassignments are designed (whether consciously or unconsciously) to single out and exaggerate the supposed “artificial” nature of these procedures, thus giving the audience the opportunity to enjoy the spectacle of these dramatic transformations without ever bringing into question the authenticity of the class barrier that is being crossed. The more dramatic the change, the more “artificial” the whole process will inevitably seem. This is why plastic surgery shows rarely depict people who are conventionally attractive from the outset, even though such people certainly represent a significant portion of those who seek out plastic surgery. Nor do they follow subjects who merely want a nose job or a tummy tuck. Rather, these programs almost always depict people of either average or less-than-average attractiveness, and who undergo multiple procedures at once, thus creating the most dramatic and extensive physical change possible.
Similarly, the subjects of sex reassignment programs rarely ever begin the process as very feminine males or as very masculine females, even though many pre-transition trans people fall into these categories. Showing such people transitioning to become trans women and trans men, respectively, would not only make their transformation seem less dramatic; it would give the impression that sex reassignment merely confirms the subject’s “natural” gender identity, as opposed to “artificially” altering that person’s biological sex.
Perhaps for this reason, the most commonly depicted subject on these programs is a trans woman who starts out as a seemingly masculine male. In addition to the reasons for the media’s focus on trans women rather than trans men (which I discussed in chapter 2), there are additional physical reasons to account for this phenomenon. Trans women often have more difficulties “passing” as their identified sex than trans men do, not only because of limitations of the MTF transition process in reversing some of the irreparable effects of prolonged exposure to testosterone, but because people in our culture predominantly rely on male (rather than female) cues when determining the sex of other people.2 Therefore, some trans women require more procedures if they wish to be taken seriously as their identified sex. Sex reassignment TV programs I have seen have followed trans women not only through electrolysis, hormone replacement therapy, and bottom surgery (which are all fairly common), but also somewhat less common procedures, such as top surgery to increase the size of their breasts, tracheal shaves to reduce the size of their Adam’s apples, and voice lessons to overcome their deep voices. Such shows also frequently depict trans women working with movement coaches and fashion consultants, even though it is safe to say that the overwhelming majority of trans women never engage in such a step.
These programs’ concentration on trans people who undergo multiple medical procedures, or who take lessons to help them “pass” as their identified sex, tends to make invisible the many trans men and women who “pass” rather easily after hormone replacement therapy alone, or who choose not to undergo all of the procedures commonly associated with transsexuality. Focusing primarily on those trans people who undergo the most procedures during their transitions not only shows a more dramatic change—one that reinforces the idea that sex reassignment is “artificial”—but also fosters the audience’s assumption that trans people are merely mimicking or impersonating the other sex rather than expressing their natural gender identity or subconscious sex.
Perhaps no element in these sex reassignment and plastic surgery shows helps confirm the audience’s assumptions about gender and attractiveness more than the before-and-after photos. These pictures are designed to overemphasize stereotypes. In the programs that feature plastic surgery and gastric bypass surgery, the subject is almost always wearing frumpy clothes and frowning in the “before” picture, and dressed smart and smiling in the “after” picture, adding to the perception that they have become more attractive. In the transsexual documentaries, “before” photos of trans women almost always depict them in the most masculine of ways: playing sports as a young boy, with facial hair and wearing a wedding tuxedo or military uniform as a young man. Similarly, “before” shots of trans men often include pictures of them wearing birthday dresses as a child, or high school yearbook photos of them with long hair. The purpose for choosing these more stereotypically female and male images over other potential “before” pictures (for instance, ones where the subject looks more gender-variant or gender-neutral) is to emphasize the “naturalness” of the trans person’s assigned sex, thereby exaggerating the “artificiality” of their identified sex.
In real life, before-and-after photos don’t always depict such clear-cut gender differences. One time, a friend who has only known me as a woman visited our apartment and saw wedding photos of me and my wife, Dani, for the first time. Despite the fact that I am physically male and wearing a tuxedo in the pictures (as we were married before I physically transitioned), I do not look very masculine; instead, I look like the small, long-haired, androgynous boy that I used to be. My friend seemed a little let down by the photos. She muttered, “It’s weird, because it looks just like you in the pictures, except that you’re a guy.” Similarly, whenever old friends meet up with me for the first time since my transition, they almost invariably comment on how strange it is that I seem like the exact same person to them, except that now I am female. It’s as if our compulsion to place women and men into different categories of our brain, to see them as “opposite” sexes, is so intense that we have trouble imagining that it is possible for a person to change their sex without somehow becoming an entirely different person.
These days, whenever people ask me lots of questions about my previous male life and the medical procedures that helped facilitate my transition to female, I realize that they are making a desperate and concerted effort to preserve their own assumptions and stereotypes about gender, rather than opening their minds up to the possibility that women and men do not represent mutually exclusive categories. When they request to see my “before” photos or ask me what my former name was, it is because they are trying to visualize me as male in order to anchor my existence in my assigned sex. And when they focus on my physical transition, it is so they can imagine my femaleness as a product of medical science rather than something that is authentic, that comes from inside me.
I know that many in the trans community believe that these TV shows and documentaries following transsexuals through the transition process serve a purpose, offering us a bit of visibility and the rare chance to be depicted on TV as something other than a joke. But in actuality, they accomplish little more than reducing us to our physical transitions and our anatomically “altered” bodies. In other words, these programs objectify us. And while it has become somewhat customary for trans people to allow the media to use our “before” pictures whenever we appear on TV, this only enables the cissexual public to continue privileging our assigned sex over our subconscious sex and gender identity. If we truly want to be taken seriously in our identified sex, then we must not only refuse to indulge cissexual people’s compulsion to pigeonhole us in our assigned sex, but call them out on the way that they continuously objectify our bodies while refusing to take our minds, our persons, and our identities seriously.