And boyfriend Arin Andrews, 16, was born a girl called Emerald who excelled at ballet dancing and won beauty contests.
Both struggled with their sexuality all through their childhoods and were teased and bullied.
Katie always felt like a girl trapped in a boy’s body while Arin thought the reverse. They met when both went to have gender-changing treatment in Tulsa, Oklahoma, and instantly fell in love.
Katie, who has developed breasts with female hormones, said: “We’re perfect for each other because we both had the same troubles growing up.
“We look so convincing as a boy and a girl nobody even notices now.”
Arin said he knew he was a boy inside on his first day at school when he felt confused at being told to line up with girls.
He said: “Girlie things didn’t interest me. I was called a lesbian growing up but I didn’t feel gay.”
Both sets of parents had trouble accepting their children’s situation but are now firmly behind them.
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