We hear about these stories on occasion, there was a Thai lb Miss Tiffany 2009 winner, Nong Jazz who reverted to living as a man and became a monk, in the case of Mark Estephen religion specifically Christianity, has a major role.
Filipina transgender beauty queen Sable Gonzales, Super Sireyna winner 2014 and Miss International Queen 2016 top 10 finalist is now living as Mark Estephen
A video from her beauty queen days
She did not have SRS, but still had a number of procedures done - plastic surgery on face, breast implants, etc.