Since puberty I've experienced gender dysphoria but developed coping mechanisms to ignore it. It got harder with age. Having just turned 33 and returned from another month-long tour, I felt more depressed than ever. With every single performance the pain of the lie was perpetuated.
Back home, everyone sees me as a boy, perhaps a bit feminine but definitely a boy. But take one look at me and you will see a vast difference between the boy with glasses sitting at the back of class, his head buried in some book, and the woman I can be when I'm free to do so.