How can you tell if someone is transsexual?

Answer 1

There are some tell tale signs, but almost all can be corrected with various types of surgery. Everyone seems to know ONE method, but unless you do a thorough examination and have extensive medical knowledge can you be sure if the "girl" is truly convincing as some asians are. Typical tells are Adam's apples, size of feet and hands, width of shoulders in relation to hips, length of humorous, size of her head, a square jaw, dominant chin, hair line, slope of forehead and length of index finger in relation to ring finger.

Adams apples can be shaved and some TSs simply don't have prodominant Adams apples, but you can still tell if you get them to open wide and say "ahhh". Not a good idea in a nightclub. Index finger/ring finger ratio is a pretty good tell. Generally women have ratios closer to 1.0 and in some cases their index finger is longer than their ring finger, 1.1 or so. For men it's usually much less 0.8. Guess you have to hold her hand for a while, but she might think you're being exceptionally romantic.

Voice can be an indicator but many men can imitate a very sexy and lightly pitched female voice and vocal chord surgery can make a males voice indistingishable from a females. Although sometimes scarring after surgery leaves the beauty with an extremely DEEP voice.

If she's had full sex reassignment surgery, then experience and intimate carnal knowledge may be needed. Usually there's scarring and most man made labia, etc, still don't quite look as good as the natural variety. There's the fact that they still can't have babies, less depth of penetration and no natural lubricant.

In Asia, especially Thailand where ladyboys are plentiful and are the true "third sex" sometimes the only tell is voice and the girls height. The beautiful Nong Poy is nearly six feet tall, and typical Asian women aren't that tall. However, there are always exceptions.

Many runway models are transgender and an old adage may be true, if a girl is really really extremely beautiful, she's was probably born a male.
From a transsexual:

Not all drag queens are transsexuals, but some are. Just ask. If they're like me, they don't mind educating the public about their cause (that's why I'm answering this question). If you are in the grocery store or some other mundane place and see a -male- dressed in women's clothing, chances are likely that they are transsexual. Cross dressers usually don't venture out into public like that.