In the thirty or more years that the Beaumont Trust has been listening to, and helping, transgender people, it has seen many changes. Not only has the distinction between male and female become blurred, but so has that between the cross-dresser and the transsexual.At the end of the first decade of the twenty first century, we are fortunate to publish a miscellany of personal accounts and of articles by leading researchers and workers in the field.We have used the umbrella term "trans" to be as inclusive as possible, to include most areas where gender is challenged by the conventions of gender and sex.