I wish Ellen/Elliot Page all the luck in the world, very good actor.
But I did some reading, it appears being transgender is more a state of mind than physiology. There is a problem with sex change surgery that can't be modified, women have a smaller pelvic bone than men. Correct me if I'm wrong but the pelvic bone cannot be modified through surgery. Unless you want to become incontinent and wheelchair bound, that is. A woman becoming a man is much more difficult, Larry David got it wrong with Funkhauser's daughter/son.