Meaning what - she cut her hair?
Had an addadicktome procedure?
Ninth grade, for Pete's sake! Her parents are child abusers!
FWIW
Transitioning is sometimes confused with sex reassignment surgery (SRS), but that is only one possible element of transitioning. Many people who transition choose not to have SRS, or do not have the means to do so. Whereas SRS is a surgical procedure, transitioning is more holistic and usually includes physical, psychological, social, and emotional changes. Some transgender and non-binary people have little or no desire to undergo surgery to change their body but will transition in other ways.[2]
https://en.wikipedia.org/wiki/Transitioning_(transgender)