We are headed to a place where we recognize that gender is not always one fixed category – not male or female – and that culturally we can become more comfortable with that idea. Hormones and surgery are always going to be options for people, but some do not feel compelled to use them. Here are the voices of some who are opting for a different solution:
http://commonhealth.wbur.org/2015/03/genderfluid-identity