Bianca and Leandro were a couple. “Bianca showed her body with rounded shapes decorated by dresses, makeup and high heels, but still had a penis; Leandro used bands to tighten the breasts and a rolled up sock in his underwear to create volume in his pants. A woman with a penis; a man without one? A boy becomes a woman and dates a girl who becomes a man? She is he? He is she?”. From the initial shock came the motivation for the doctoral work about candidates to the transsexualizing process in a public hospital. In this research, UFRJ professor Rodrigo Borba found a glaring mismatch between what health services understand how transsexuality is and the varied ways in which transgender people actually experience their identity in everyday life. As a result, discursive obstacles remain in the way of a full and humanized health care for transgender individuals.