Everything changed already the next day. Dr Anderson had spoken with a colleague who had handled three cases like mine, and she wanted me to check into the hospital by 1 pm that very same day. She was clearing things already with my professors and teachers for the next two weeks, so I could watch the lectures online and not get too far behind.

It was noon and I had to get the stuff I would need in the hospital and get there, all in one hour. Joanne wasn't in our room yet, but I texted her I was on my way to hospital and to meet me there after her classes.

All by myself I was really worried. But, I went as Georgia, and I was pleased that Georgia was written on my bracelet and all the paperwork I had to sign. Apart from the form that changed my name from Gregory to Georgia. Just a formality, right?

I had a room by myself and was immediately hooked up to an IV. Then I was picked up and I had to go through all kinds of tests, one of them inside a huge machine that twisted around me, making pictures I assumed. When I was finally brought back to my room, Joanne was there, her face white.

When she saw I was okay the color in her face returned and we discussed the new situation. Everything became clear however when Dr Anderson came to visit. As she explained she had talked earlier to Dr Sun, a brilliant surgeon on the west coast, who had treated three cases similar to mine. All the tests I had gone through proved that my situation matched with the other three, and Dr Sun was on her way already to assist with the surgery. Or most likely, she would be assisting Dr Sun.

It was clear that my body had gone through a unique situation. Early on in pregnancy every fetus is female, until a certain decision point occurs, where chromosomes change and some fetuses become male. In my particular situation, similar to the other three known cases, the decision had been fuzzy, and although I developed male artifacts, my female counterparts developed too, waiting dormant inside my body. Long story short, I had a womb and a uterus that were rapidly developing right now, since my true puberty started.

The surgery was not “simply” a reconstruction anymore, where parts of my penis and scrotum would be used to form a vagina. In addition, this new vagina had to be connected to my female internals, effectively making me a complete woman. I would experience periods, like any other woman, and potentially I could get pregnant. They would still have to determine if I was fertile after all this time, but the other three patients that Dr Sun had treated all were. Two had indeed become pregnant and delivered healthy babies, though a C-section was used, as the reconstructed vagina wasn't strong enough.

I was almost going to say “too much information”, until it hit me. I was going to be a biological woman, or I really was one already. It made the surgery even more urgent, as my first period would soon come, and if the body could not dispose of it, it could very well kill me. It had happened to the first known case that reached Dr Sun after the patient had died already. But she learned enough to save the next three and hopefully me.

When I was alone later with Joanne, I told her “You realize you may have well saved my life? You put me in the hands of an expert before we even realized what was going on. If you and I hadn't hooked up the way we did, and somehow my body had switched to the female side, I could have died before we even realized what was going on.”

She nodded, tears in her eyes. Then she said “There's more to it. I may be transitioning, but my manhood is still very active. Not sure how long that will last, but technically I could make you pregnant. And as good as I feel being with you, making a family with you could top that. Let's see how everything turns out, but I'm not capable of seeing a future without you. And suddenly we're given the gift of a chance at our own family…”

I could only nod, tears in my own eyes. Hadn't I thought the same thing about not seeing a future without her?

We decided not to go into specifics with our family, until they were here, but we both texted that I was already in the hospital, and that surgery was planned for late Friday afternoon. I was hungry but I wasn't allowed any food or drink. The IV gave me my nutrients but my bladder and stomach had to empty out.

Joanne sat in a chair next to the bed, with the bed rail down so she could put her head on the mattress and I had my hand in her hair. After we'd dozed off a nurse woke us and told Joanne to come back in the morning. They did some stuff to me that had me up in the bathroom most of the night.

Waking up my mother was there. They had gotten up very early for the four hour drive. I was happy that they had allowed me at least to keep my wig on, so I looked a bit like the girl I was becoming. Soon my dad and my sister were there too, and I found that telling my whole story went relatively smooth. Had I been worried about my dad, he told me how much I looked like my sister, and when I took a selfie with her, I saw how right he was.

Apparently Joanne had skipped some classes because suddenly she was there too, and she fit right in. I guess parents can see it when you find the one you love. There was no awkwardness about her being transgender, should I say “as well”? Nor about us planning to live together as two girls. We weren't talking about children yet, but I think my parents would be pleasantly surprised.

Shortly after noon Joanne's parents and her brother were there, and it was my turn to fit in. Joanne told the full story this time, and they were happy for us, but worried about such a complicated surgery. That's when Dr Sun, a pretty Asian woman, came in. She introduced herself and she soon took control, explaining what would happen, and the chances that were fairly high for me. She answered every question, before she left to get ready for surgery. My surgery.

Our two families decided to go out to dinner together, as I was getting dozy already from who knows what they put in the IV. Joanne wouldn't leave, but my father brought her some food from the cafeteria before they all left. I vaguely remember them rolling my bed to another area before I fell into a dreamless sleep.

Waking up was weird. I felt drugged and didn't want to open my eyes and so I fell asleep again. I thought I heard Joanne's voice a few times, then my mother. It must have been some weird dream, I chuckled. Not until I felt a shock of pain in my crotch did I open my eyes. What the hell had happened?

And slowly it came all back to me. The surgery. I was still alive. That was good, right? And I saw Joanne looking at me. Definitely good, even though her eyes seemed worried. And there was indeed my mom. “Happy birthday, Georgia”, she said. It was my birthday. I was twenty now. I was Georgia now.

I wanted to say something but my throat felt raw and Joanne had me sip from a cup of water. It helped a bit, and I managed to ask “Surgery?”

Joanne answered, “They didn't tell us much, other than that they believe it went well.” I think that was good, as I fell asleep once more.

Hours later when I woke up it was a lot clearer in my brain. Joanne's head was sleeping next to me on the mattress, and I curled my fingers through her hair. It woke her up as well, and she kissed me carefully on the mouth. “How do you feel?”, she asked.

I didn't feel bad, my throat felt okay again. It was kind of nice to not feel my itchy skin or my swollen nipples. And it suddenly hit me, “I don't feel a thing.” Turns out the IV had a serious amount of painkiller going through my veins.

For about ten minutes the room filled up with family, cutting a cake and singing “Happy Birthday”, and it was good to hear “dear Georgia” at the end of the song, before I fell asleep again.

Clearly they had reduced the amount of painkillers, because I was much more aware of pains in my body, I realized before I opened my eyes again. I was alone this time, until a nurse came in who started taking my vitals. She asked me where I felt pain, and I pointed out all the spots, mainly in my crotch area, what you would expect, but also inside my belly.

Not much after Dr Anderson came by and she told me that everything had gone as expected. Dr Sun was already on her way home, but she had been a wonderful teacher to her, and they were confident that my body would accept the changes, and that by the time my puberty was over nobody would be able to tell I wasn't born female. There would be pain for another week, and they needed to dilate my vagina regularly, so that it wouldn't close off. My sex change was already registered with the authorities and with the school. Most importantly, I thought, was that Joanne and I could keep on rooming together.

I vaguely remember everyone coming by to say their goodbyes. They all kissed me, even Joanne's parents, and the happy feeling stayed with me in my dreams.

I won't go into too much detail on my week in the hospital. It seemed like their intention was to keep me drugged with morphine, where I needed my head to be clear to catch up on the recorded classes that I had been missing. And in a way it was easier to deal with the pain than with a fuzzy mind. What's the expression? Beauty is pain?

I was glad to be released, and even more glad that Joanne had ordered an Uber, as walking was still a chore. It felt good to be back in our room, which had our female names now on the door. Still quickly tired I went straight to bed for a nap, and Joanne joined me. It felt good to feel her hand on my breast that was indeed an A-cup by now, and still growing. The worst of the itch was gone and my changing body became more familiar to myself.

They had warned me not to have sex for a month, but when I woke up I needed Joanne's dick, and she made sure I was in a comfortable position as I gave her a blow job. She didn't last long, given the lack of any sex while I was gone, and I cherished the cum in my mouth. We shared through a loving kiss and I knew all would be good.

After another week, stuck in our room, though slowly coming out for small periods and getting better at simply walking again, I was ready to go back to my classes, grateful but bored with the recorded sessions. It was weird though, as Greg was gone, and Georgia was in his place. But, leave it to college kids, everyone seemed to accept the new me.

It took two months before I had my first period, and it was both horrible and exhilarating. It was proof I was a real woman now, while still learning so many things about womanhood from Joanne. One of them was protection. I wasn't allowed any contraception for at least a year, so we had to be careful in our sex life. Condoms or withholding when fertile was advised, but we chose to go anal during those days, which was still very pleasurable.

Almost three months before I had called Joanna my girl. Reality made me her girl really in this relationship. She missed my dick though and soon we experimented with strap-ons and different types of dildos. Add mouth and tongue, and both of us with sensitive nipples, now that her own breasts are developing as well, and I can't believe that my sex life went from zero to one hundred fifty percent.

This was all more than two years ago. We're living off campus now in a sweet apartment. We'll be graduating in a few months and then our wedding in the summer. We've invited both Dr Anderson and Dr Sun as guests of honor. And of course, Halloween is when our first child is due. As beautiful a woman Joanne has become, she still hasn't decided if she's going for that final surgery. “Maybe after our third”, is her standard answer now. We'll see…