Transsexualism is a challenging entity posing diagnostical, etiologica
l, ethical and moral questions with no general consensus of opinion an
d a controversial management policy. The present article tries to deal
with these questions by drawing a parallel with another psychiatric s
yndrome in which there is also a disturbance in body image, namely ano
rexia nervosa. The parallel is at the level of clinical presentation,
psychodynamic etiology and their common socioepidemic dimension.