Some of them have breast implants and some don't. Just like real girls some are hawt and some aren't.
They considered themselves as a woman not a cross dresser and believes the guy who is dating them is a straight man.
Dude 2: You sure? She has a dick.
Dude 1: No fucking way!
Dude 2: Yea, that's a She Man.
Dude 1: I will pass...