On June 15, Richard Ramsey checked into Lower Bucks Hospital in Bristol Township for major surgery. When he left three days later, Ramsey was no longer Richard, but Renee. Her first words to her doctor when she awakened after the operation were, "Now I'm the lady I always knew I was." Ramsey, a tall, lean woman, neatly turned out in black tailored pants and a lavender turtleneck sweater that used to be her wife's, is likely the oldest person in the United States to have surgery to change genders, experts say. She is 77. ... "I would have liked to...