Why are 80% of transitions male to female, and only 20% female to male? That mystifies me.
I have two real friends who went from being male to female. I've known both for over half my life.
Of the two, one of them I genuinely think is a narcissist (clinically speaking) and in love with themselves, and the transition was in some way connected to that.
The other one I genuinely think is a woman who had the misfortune of simply being born in the wrong body. She is, in every way I can think of, a completely normal nerdy woman. She's well adjusted and a reasonably happy person.