I suppose the answer may lie in the way we regard just what we do and any progress made. Most of us believe that we are on a journey. For me, my journey is towards perfecting my appearance - clothes, wig, makeup etc. I recognise that this is a superficial journey, but I dont know what else I will want to do after it. For others, it would seem that their journey is more specifically towards a more radical change - that of male to female on a permanent basis, either with or without surgery or drugs.
Perhaps, as in our careers and life plans we simply need to get to the destination in order to find out - call it kismet.