No, I think you missed the point. You're talking about ONLY the end game. I was speaking about the entire process. A person who becomes a M2F transsexual starts out as a male. Now, unless you are raised as a female from Day 1, you have spent some time as a male. However, at some point you come to the realization that there is a mismatch between your physical and psychological selves. Maybe you begin to crossdress, but eventually you realize that your situation needs more than occassional dressing and that there is a considerable mismatch between your physical and psychological selves. At a minimum, the desire is to live 24/7 as a female and taking steps to correct the incongruency is considered.
For most people, I would guess that self-awareness starts somewhere in adolescence. Until that time, chances are that you have lived as a male, even though that may have seemed difficult and frustrating. And yes, transsexuals do cross the gender boundary; it's just that their last trip is one-way.
Also, I find it hard to believe that crossdressers can really identify as 100% male. It doesn't seem right that such a person would be willing to present as the other gender. What would be the point? I think that there has to be a bit of dysphoria; not much, but some.
DeeAnn