Can someone be born a transsexual?

Yes. Most with transsexualism are born that way, they usually knew they had it before age 6, and they get the surgery to stop having transsexualism. The condition of transsexualism is not the same as the lifestyle of transgenderism. Transgender is mostly a choice and is a fairly recent concept. Transsexualism is a diagnosis while transgenderism is mostly a self-identity.