For many male to female transsexuals this seems to be the stumbling block to passing. The number of times I have heard something like
"Oh, I seem to pass reasonably well - until I open my mouth and speak" or similar phrases.
I don't know what is with trans women and voice, but many just seem to give up at that point as if it is impossible to achieve a reasonable voice which will not give rise to immediate doubts and double looks.
Read more about this in my 'Voice Therapy' page which you can access here.
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Thank you for your patience -- Carol