All the surgeries, pills, injections, etc... that a transsexual (in this case male-to-female) undergoes IOT present as a female as much as his bankroll and his physical structure (face bone structure, small frame, small hands and feet, hair, voice, etc...) will allow.
Friend 1: "Hey, man! Who's that fine-ass chick across the room?"
Friend 2: "That's not a chick, dude. That's a guy who's had a lot of undercarriage work done."