I think it would be very rare for anyone over middle age to have gender issues. ID theft on the other hand, is common.
However, if you are thinking that she is still alive, masquerading as a man - there would have been no need for surgery. Hormone treatment would do it...
But for what purpose?
There have probably been a dozen threads on FR where people did have a sex change late in life. When it's a teacher or politician, it makes the news.
Beats me as to why, it seems that by the time you're out of the dating and party scene and your libido has cooled down a bit it wouldn't be so urgent to run the risks, pain and expenses.
ID theft on the other hand, is common.
Yeah. Tax fraud and money laundering come to mind as well.