It has been all positive for many years. I live in a western Oregon college town that is very accepting of differences between people. While I could pass easily in my youth, that ship has now sailed. I get a few double-takes, rubber-necks, and the occasional wolf whistle (which I love BTW), and many compliments on my fashion choices and boldness in embracing who I am.
However when I was very young we lived in a backwoods redneck enclave and my older sister had to rescue me several times from bullies. She is fierce and they soon learned to leave me alone.