Puberty begins at the age of eight and fourteen. There are different changes among girls and boys. Girls start to develop breast, pubic hairs, first menarche, and growth spurts are all beginning to take place. The visible puberty changes that are seen in boys are growth of the penis, testes, and they experience their first ejaculation of sperm, as well as the acne, facial hair, and their voices become deeper. Girls and boys both go through hormone changes that can lead to stress, mood changes, sexual desires, and reproduction. Puberty can arrive late for both sexes and this sometimes can cause behavior, identity, and social problems. Late puberty can result in the adolescent to go through gender identity disorder. Gender Identity Disorders normally become a possibility when adolescents feel they have the wrong body mechanics, poor social skills, feeling comfortable in the opposite sexes clothing as well as their mannerisms. Starting at the age of twelve these young transsexuals begin using a hormone suppressor called gonadotropin-releasing hormone analogues which helps slow down their unwanted puberty characteristics. The purpose of this intervention is to relieve the adolescent from the suffering caused by the development of secondary sex characteristics and to provide time to make a balanced decision regarding actual gender reassignment(Pg.2276). Gender dysphoria is when an adolescent is experiencing strong cross gender identification as well as uneasiness with their natal sex. Gender dysphoric normally does not go away in adolescents but will remit in most children that are in puberty. Studies have shown that teens from sixteen to eighteen that went through the gender reassignment, using the cross-sex hormone treatments, their gender dysphoria had depleted a year or so after the surgery. It also showed that after the surgery the psychological and social performance of these transsexuals were favorable. It is not unusual