Miss B was registered as a man at birth, but adopted female behavior from a very young age. Distressed by her feelings of identity, she suffered from attacks of depression. After she was hospitalised, doctors prescribed feminising hormone therapy. This led to a development of breasts and a feminisation of her appearance - after which she dressed as a woman. Miss B also underwent treatment to remove male genital organs, and replace them with female ones.
Miss B developed a relationship with a man, and wanted to marry him. However, she was unable to do so because the authorities refused to register her as a woman. That refusal also left her unable to cross borders, undergo identity checks, apply for jobs or carry out many transactions of daily life where proof of identity is necessary, without disclosing the discrepancy between her legal sex and her apparent sex.