This article reviews the lived experiences of 4 college-age transsexual individuals. A qualitative study using grounded theory was conducted to investigate their experiences influencing their later educational persistence. Results suggested that level of discomfort, perceived social supports, level of secrecy, and academic achievement all affected participants' decision making regarding persistence. This process appeared best explained by participants' expressed hierarchy of needs. Implications for clinical practice and future research are discussed. (Contains 1 figure.)