After seeing people's differing view on transsexualism, I figured it would be interesting to try and explore the scientific literature concerning this phenomenon. Mainly, how it originates (possible causes) and how much is nature vs. nurture, and the current treatment options available and their effectiveness comparatively.
I've only used Google Scholar to find this literature. I also tried excluding older studies since they'll likely be references in newer literature and are likely outdated.
Also worth mentioning that I haven't looked in-depth in any of the studies presented here, so forgive me if I include some bad studies and/or interpret them wrong in the conclusion.
Origin
To start, let's find out approximately how many people are transgender.
>How many people are lesbian, gay, bisexual, and transgender?
https://escholarship.org/uc/item/09h684x2
>[…] an estimated 0.3% of adults are transgender
Now for possible causes.
>Transsexualism: A review of etiology, diagnosis and treatment
http://www.sciencedirect.com/science/article/pii/S0022399998000853
>A first indication of anatomic brain differences between transsexuals and nontranssexuals has been found. Also, certain parental (rearing) factors seem to be associated with transsexualism. Some contradictory findings regarding etiology, psychopathology and success of SRS seem to be related to the fact that certain subtypes of transsexuals follow different developmental routes. The observations that psychotherapy is not helpful in altering a crystallized cross-gender identity and that certain transsexuals do not show severe psychopathology has led clinicians to adopt sex reassignment as a treatment option. In many countries, transsePost too long. Click here to view the full text.