Neutrois people may experience dysphoria and wish to transition. Often, neutrois people prefer for their gender expression to be gender neutral or androgynous, although this is not always the case. Some neutrois people wish to medically transition to remove all sex characteristics, but others only wish to remove some characteristics, or do not desire surgery at all.
As with many other non-binary identities, neutrois people may not have their gender legally recognised on their documentation. However, an increasing number of places allow for non-binary identities to be recognised, including Facebook, which includes neutrois as a gender option.