One year later, and Grace has now opened up to woman's magazine Cosmopolitan for a first-person account of the experience aptly titled, "My First Year as a Woman."

What follows is a revealing and intimate profile, opening with the story of how Gabel first saw Madonna on TV at age 5 and wanted to be just like her when he grew up, even though he was a boy.

"I was always attracted to women. It was never a sexuality issue," Grace said of her high school experience as a guy. "I just knew that if I could make a wish to change into a woman myself, I would have made it 100 times every day. It became so stressful that I'd reach these points where I'd throw all my women's clothes in a dumpster and swear, 'Never again will I do this!'"