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WHEN a female nurse called Margaret Castle became a male nurse called Mark O'Brien, he was suddenly expected to lift heavier weights, like dead bodies and brain trauma cases.

"It was funny because I'm not any stronger now as a man than I was as a woman - I've always been very powerful," he says nodding to his beefy shoulders and arms. "but as a woman the rules were different".

Mark O'Brien might not be any stronger, but he's much gentler as a man than he ever was as a woman when his rage of being trapped in the wrong body had him itching for a fight.

If you said something he (or strictly speaking, she) didn't like, you could have ended up wearing a plate glass window. "Now", says Mark, "I can have a couple of drinks and not get nasty".

Better still, he can stop at a couple of drinks and not do what he attempted at the age of 16 - drink himself blotto into an attempt to forget he felt like a man who had breasts and periods.

"Being drunk was the only way I could accept myself," he says, crumbing cake as we talk at a railway restaurant. "I knew there was something different about me from the age of nine. I didn't look like a girl, I didn't like girls' games. I liked football and cars. When I developed breasts at puberty I was horrified. I liked women but I didn't want to be one."

Being drunk was also the only thing that helped Margaret cope with a sexual relationship with a man. At 21, trying to make a go of being female, she got her first boyfriend. It didn't work. Worse still, she became pregnant, and suffered two nervous breakdowns and attempted suicide three times.

Trying to persuade her to accept her gender, experts tried everything from shock treatment to glib advice like, "You'll be OK once the right man comes along."

Margaret felt like cutting her throat and one day she did just that. Meeting Mark now it's hard to imagine someone so cheerful and positive being so desperate. But the long thin scar is there under his collar to prove it.

Under his shirt are more scars. These are from the mastectomy he had six years ago, when to his huge relief, he could stand up, look down and see….nothing. He was happy to see the last of his periods too - the result of treatment with hormones.

Long before hormone therapy and surgery, Margaret Castle had been dressing and living as a man and using the name Mark. But every month, menstruation reminded her she was still a woman and was the trigger for one of her suicide attempts.

Mark, now 44, says his life changed from the moment he got a letter giving him the go-ahead for the surgery. It felt, he says happily, as if he'd been locked up for 25 years and someone had handed him the key. He's had peace of mind ever since, and has built a quiet life in suburban Sydney, content with his cat and his dog and the neighbours and friends who accept him.

Like most female to male transsexuals, Mark went no further than mastectomy and hysterectomy. But when we met he'd just made the decision to have his genitals changed to include an artificial phallus.

"I've put it off long enough," he says. Physically, I'm neither one thing nor the other. When I go to the beach the top of me looks male and bottom half doesn't. It might take three operations, it might take five. I've been through a lot of pain and there's more to come. But in the long run, I'll be what I always should have been."

Citation — Unknown., (2002) Mark O'Brien. Cleo, May 1990 p. 145.

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