And her wife is fully supportive of her decision.
Fulvia Pellegrino has had more than 150 lip and cheekbone fillers, four breast implants, and two rounds of liposuction.
The 56-year-old, from Italy, has spent €12,000 (£9,000) on her bum and is planning even more surgery in her quest for the perfect face and body.
Remarkably, Fulvia’s wife, Marisa, is standing by her husband, although the pair are now more like sisters than a married couple.
Fulvia said: “I am not happy with my ‘perfect’ body, because it is not perfect. Perfection is something else.”
Fulvia was just fifteen years old when she first realised she was transgender .
But fearful of her strict religious family, and her father who was in the clergy, Fulvia kept her feelings a secret.
She said: “I was living with my family who were very narrow minded and very religious.
She said: “I was feeling trapped in my body. I hid in the garage and put make-up on dressed like a woman.
“I never showed that side of me because I was ashamed of it.”
Fulvia masked her turmoil and exaggerated her masculinity in public, buying guns and owning expensive cars.
She said: “It is difficult to grow up with a body which is not yours. You try to mask it in every way playing football, drinking beers, buying American 4x4s and go shooting to feel like a man.
Finally sixteen years ago (2000) Fulvia could not bear to hide and confessed to Marisa that she wanted to transition.
She said: “Obviously Marisa lost if for a moment, it is not something that is easy to accept.
“Today Marisa and I are nothing more than two sisters.