Taking my 22:40:29 post a little further, to include a 'fully transitioned' trans woman. I personally would class said transwoman as a woman. By me accepting this, I have no issue treating her exactly as I would any other woman. She 'lives as a woman', clearly actually identifies as a woman and due to transitioning has pretty much the same anatomy as a woman does. I would be uncomfortable, and entirely against expecting a fully transitioned woman to share 'male only' areas instead of either having a separate option for themselves or using female spaces.
My issue on this is, and always has been the 'identifying and therefor am' part of the trans-umbrella. I disagree with this wholeheartedly.
I also do think we need to learn more about trans people and figure out if it is actually more psychological, which I suspect does play a role in a lot of cases. However, to do this will take time..and I have absolutely no issue with in the meantime, continuing to treat transexualism with surgery and hormones if the recipient is 100% sure that that is what they want and it would make them happy. NHS needs to better understand the condition though, from what I have read today, before they can successfully 'treat' in any way.
I also disagree totally with ANY option of hormones, surgery, or even counselling for children that would..or has the potential to push them in the direction of believing they are trans. This is a hard one for me as I don't want any child to suffer, but I fully believe that lining them up for treatments they most likely do not actually need, is wrong. I think my stance on this is the following. It is better to 'treat' children who think they are in the wrong body by allowing them to express themselves in whichever way they feel 'right' doing. Also if needed, to reinforce the view that if this is about attraction, it is fine to be attracted to members of the same sex. When they are adult enough to understand the implications of the decision, THEN give them the option of the transitioning route. before that, it should never be mentioned as even an option.
I do not know how others would view this, I speak solely from a personal perspective.