As Joan and the children come to terms with their new life, things are still difficult for Sydney. "It really got to the stage where I really didn't want to transition," she says. "I didn't want to be someone that was going to be marginalized or pathologized."

Growing up, Sydney says there was little acceptance and understanding of transgender individuals. "Our world is very well set up for a man to be a man," Sydney says. "When someone does a gender transition, there's no real good language or framework around that. There's no system set up to support that in a major way within society. It's still seen as such a rare thing, but it's not that rare."

Oprah applauds Sydney and all the guests for helping to educate society on acceptance. "By opening your lives to us ... you are opening even wider the hearts and minds of those people who are watching."

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