Courtney Penniman of Arizona made transitioned from female to male in August 2012. This was the culmination of a long struggle with gender dysphoria, a condition where a person experiences discomfort or distress because there is a mismatch between their biological sex and gender identity.Gender dysphoria is a recognized medical condition, for which treatment is sometimes appropriate. It is not a mental illness. Many trans people have treatment to change their body permanently, so that they are more consistent with their gender identity, and the vast majority are satisfied with the eventual results.