Fumino Sugiyama, a transgender man, had always felt trapped in a girl's body while growing up.

Now, following breast-removal surgery at age 27, and after taking hormone therapy and growing a beard, the 34-year-old is a leading campaigner in Japan for better understanding of sexual minorities.

In early May, Sugiyama was at the head of a parade organized by nonprofit organization Tokyo Rainbow Pride, where he works as a co-leader to provide help to lesbian, gay, bisexual and transgender people.