Psychoanalysis and science respond to the transsexual claim of wrongful embodiment with radically different models of treatment. Yet both disciplines construct the figure of the transsexual from a heteronormative and patriarchal perspective. The 13th-century text Le Roman de Silence, which deals with the gender transformation of its heroine, Silence, is similarly biased. Moreover, this romance theorizes a relationship between gender and the body that closely parallels the psychoanalytical and scientific discourses about transsexuality. Silence's social isolation confirms the varying levels of dislocation that transsexed individuals, both male and female, attribute to their condition, but her powerlessness to determine her own gender identity is more akin to the modern treatment of intersex children. The ambiguity surrounding Silence's return to femininity at the end of the romance, however, suggests that the medieval author can see beyond the binary system of gender that structures his society and that continues to structure ours.