A biologically normal person who experiences transgender feelings is not the opposite gender trapped in the wrong body, but a person who is experiencing mental and emotional confusion (I’ve written some on gender issues here and here).  They need therapy, not gender reassignment surgery.  But what about a person who was born genetically male (Y chromosome), but with malformed or ambiguous genitalia?

There have been many cases where doctors and parents made the decision to surgically alter their genitals to appear female and then raise the child as a girl.  But the child is a male, biologically, and the male hormones make them feel and act like a boy despite being told they are a girl and raised as a girl.  Later in life, they discover their past.  Now, as an adult, though they look like a girl, they want to be what they feel like and truly are: a man.  They want to dress as a man and act like a man, and even undergo surgery to physically alter their genitals to look like a man again.

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