The tears running down his cheek. I feel that... In a way for me, it's like I cry for not being who I feel I should be. At the same time you will have to say goodbye to your body as you know it. I can't help feeling that I'm betraying my body. But the urge to live my life as a woman is so much stronger.
This is a very well done piece. The colour palette is soft, with dark grey rather then black, making the subject matter approachable, and the detail is medium rather then overblown, allowing an observer to see the piece their way. And the way I see this piece is of course "excellent".