Visibility can be a double-edged sword for the transgendered. Certainly, the more transgendered men and women are public and open about their situation, the more exposed others will become to the issue and hopefully the more understanding and accepting they will become. However, this visibility, while great for the cause at large, can come at a great personal risk.
Transgendered people who are out (voluntarily or not) can face bigotry, violence, and harassment. They are often discriminated against in the workplace, abandoned by friends and family, and even barred from public places. Further, they have to deal with people who never accept their gender identity, believing instead that the gender a person was assigned at birth is the only real truth. Some even goes as far as to equate being transgendered with being dishonest.
Transphobia leading to invisibility and transphobia by default similar to the biphobia by default from our own limp wristed JFLAG advocates is another matter all in itself with a small number of them self identifying as trans in fear if ridicule and being misunderstood.
There are Transgendered persons who wish to conduct their treatment and surgeries but very little help is known to have been extended to these persons worse yet no financial assistance at all in some cases one major trans figure was homeless at one point for several months and her counseling sessions were discontinued by the powers that be sighting her uncooperativeness in effect.