Personally I have a difficult time with the word choice because in some ways there is a choice, and in some ways might not be a choice.

The best way to explain this weird sentence is if I relate my personal situation. My body is male, very male, but my brain says female. Well, it isn't really binary, but my body looks much more like that of a man than that of a woman while my brain is a lot more female than male. That is not something I chose, it is just the way I was born. In that regard, I didn't really have a choice.

I have, however, chosen not to transition. To me, transitioning was a choice between two unfortunate outcomes, the lesser of two evils. To me, there are two parts to gender, the gender role I assign myself, and the gender role society assigns to me. With my body, there is no way I can pass as the female sex, not even in a room with the lights out. I might have SRS, but that would never change how the world around me - except for close friends - would treat me.

For that reason, at the age of 25, I decided not to transition. My choices - in my mind - were to either transition and be unhappy or not to transition and be unhappy. Now, 26 years later, I am hoping for either a miracle or that souls do reincarnate.

I guess what I'm trying to say is that gender dysphoria is not a choice, but how you live with this "condition" is a choice. For some it is a choice between being happy and unhappy, for others it is a choice between being unhappy in one way and being unhappy in another.