To most people, Takafumi Fujio -- with cropped hair, thick arms and deep voice -- is a typical, middle-aged salaryman. But until four years ago, when the food company worker started on a range of hormonal treatments, he was a woman, a housewife and mother of two.
Fujio is one of an estimated 7,000 to 10,000 people in Japan who believe they were born the wrong sex, a sexual minority that has been largely hidden from view.
But that is quickly changing.