Most of them don't want any surgery done but rather have fun as crossdressers (sometimes called sissies).
Then, choose from any of the webcam thumbnails that appear and select any one to enter that room for shemale sexchat. So there are males or females that already have done some surgery to their sex changed.
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They are not only used in the porn and sex industry, but also in mainstream. Tranny cams refers to transgenders playing with their cock or pussy live on cam.
Transsexuals is a broader term than shemales, tranny or tgirls.