The Sexes: Prisoners of Sex

Rachelle McAdam is no ordinary girl next door. A former Salt Lake City high school teacher, she stands a stately 5 ft. 11 in. tall and displays a well-turned 36-26-35 figure. Eight weeks ago, before her operation in San Francisco, her name was Richard, and she was a man, twice married and twice divorced.

McAdam is one of about 1,500 transexuals in the U.S. who have changed their sex by surgery. Because most sex change operations are done confidentially, the exact number is hard to determine. But the trend is clear: about 700 such...

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