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'I had to wait until my 16th birthday but once that was past I was able legally to have the operation.

'I know that because of my past people will always bring up the subject, I can't get away from it.

Imagine a man that suddenly starts growing breasts or a woman that starts growing a beard against their will – that is how Kim and people like her experience puberty.

'They are not freaks, nor do they suffer mental illness. That is why it is best to help them as early as possible and reduce the trauma for them and their families.' Last year Kim was signed to Joyce Records and released online her first single 'Last Forever'. In September - just weeks before the cosmetic surgery finalising her transition from a male to a female -she released her first commercially available single 'Fade Away' into the German market.

Dr Achim Wuesthof, an endocrinologist specialising in children and adolescents, who was treating Kim at a clinic in Hamburg, said that he and his colleagues felt that in this case it had been best to start earlier.

He said: 'To the best of my knowledge, Kim is the youngest sex change patient in the world.

They are so tight, I always felt quite uncomfortable in them until now.'Now I can go as tight as I want to.

I used to wear mini skirts too, but yes, now even the tight ones can be part of my wardrobe.'I can enjoy swimming, and bikinis, go in the changing rooms without a problem, everything has changed because of this operation.

But I hope that one day I might be better known for something else like my music.' In Germany, such operations are not usually allowed until the patient is 18.

However Kim managed to convince doctors when she was just 12 that she should have the surgery.

'Kim is such a case – she always knew what she wanted.' Kim herself said: 'Everything has changed because of this operation.

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