but this view is controversial, and others argue that merely having some medical procedures does not have such far-reaching consequences as to put those who have them and those who have not (e.g.
because they cannot afford them) into such distinctive categories.
For instance, it is difficult to decide whether a transman erotically attracted to males is a heterosexual female or a homosexual male; or a transwoman erotically attracted to females is a heterosexual male or a lesbian female.
Any attempt to classify them may not only cause confusion but arouse offense among the affected subjects.
In such cases, while defining sexual attraction, it is best to focus on the object of their attraction rather than on the sex or gender of the subject.
Psychologist Rachel Ann Heath writes, "The terms homosexual and heterosexual are awkward, especially when the former is used with, or instead of, gay and lesbian.
One perspective offered by transsexual people who reject a transgender label for that of transsexed is that, for people who have gone through sexual reassignment surgery, their anatomical sex has been altered, whilst their gender remains constant.
Historically, one reason some people preferred transsexual to transgender is that the medical community in the 1950s through the 1980s encouraged a distinction between the terms that would only allow the former access to medical treatment.
True transsexuals feel that they belong to the other sex, they want to be and function as members of the opposite sex, not only to appear as such.
For them, their sex organs, the primary (testes) as well as the secondary (penis and others) are disgusting deformities that must be changed by the surgeon's knife.
Alternatively, I use gynephilic and androphilic to refer to sexual preference for women and men, respectively.