Some transgender people have body dysphoria and pursue medical means (e.g.
hormone replacement, surgery, etc.) to help mitigate it, but others don't have it, don't have access to treatment, or choose to not undergo treatment for various reasons.
It’s important to realize that just because the dichotomy of one part of a couple being butch, and another being femme is common within the LGBT community, it’s not necessarily “easier” to be femme or butch.
A lot of times butch and femme women are accused of playing into the gender binary, and we see the ever-common confusion from straight people — and even a number of queer folks — regarding why a femme woman would date a butch woman instead of “just dating a man.” of misconceptions surrounding women who date women, whether you identify as butch/femme or not.
Imagine my despair as I started to realize that virtually all of the women I found attractive were either explicitly “looking for a femme” or responded to my inquiry (well, the nice ones did) with something along the lines of “We can hang out as friends, but I don’t date other butches.” I also learned that many of the women I assumed identified as “butch” rejected the label—in part because they felt like it dictated certain things about them, such as an unwillingness to date anyone who didn’t ID as femme.The word butch, meaning "masculine", may have been coined by abbreviating the word butcher, as first noted in George Cassidy's nickname, Butch Cassidy.However, the exact origin of the word is still unknown.Some lesbian feminists have argued that butch–femme is simply a replication of heterosexual relations while other commentators argue that, while it resonates with heterosexual patterns of relating, butch–femme simultaneously challenges it.Research in the 1990s in the United States showed that "95% of lesbians are familiar with butch/femme codes and can rate themselves or others in terms of those codes, and yet the same percentage feels that butch/femme was 'unimportant in their lives The word femme is taken from the French word for woman.