In fact, the argument could easily be made that individuals with transgender tendencies who do not pursue gender reassignment procedures are more prone to chronic depression and to other natural consequences of their repressed feelings about their true identities that could potentially affect their ability to fulfill their vocational obligations optimally (O'Neil, et al. 2008). Conversely, the evidence strongly supports the conclusion that transgender individuals who undergo the sex reassignment transition are fully capable of leading happy fulfilled lives and of performing at work without any detrimental effects directly attributable to their transgenderism (Nuttbrock, et al. 2008).

To the extent transgenderism is associated with psychological trauma and negative consequences that affect an employee's ability to perform at work, it is largely attributable to the negative attitudes, harassment, social exclusion, ridicule they often encounter from coworkers. Naturally, the same is true, perhaps even more so, to the extent transgenders' families reject...
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