If one is aware of a physical reality and still chooses to insist it is wrong, how is that not delusional? There are several people who firmly believe that they are “supposed to be” disabled, yet have healthy, fully-functional bodies. Is the best treatment to start lopping off their limbs and severing their spines in order to approach what they believe they should be? If not, then why do we destroy healthy, fully-functioning bodies to make one sex look like the other?
There are other people who firmly believe that they are animals - even dragons - “cursed” to live in a human body. They know they are physically human, and they are able to function as such. Should they be given surgeries to implant whiskers, sharpen their teeth, and whatever else would make them look as much like their “real identity” as possible? If not, why do we insist that it is a good thing to mutilate a man so that he simulates the appearance of a woman?
If an African-American woman believed that she was really Asian “on the inside”, would it be best for her health to undergo skin bleaching, surgeries to introduce an epicanthic fold, etc? If not, why do we push surgery on a woman who believes she is really a man “on the inside”?
Brains are not clearly sexed, and there is no way to tell any difference between them without dissection. There is significant overlap between the brains of men and those of women, and all of the differences are in areas which are known to be plastic - able to change in response to behavior or environment. If a man acts like a woman for an extended period of time, his brain will lean more toward the normal range of a woman’s brain, and vice versa. Very little of the brain’s “wiring” is fixed from the time of formation.
We’re also not talking about those unfortunate individuals who actually do have intersexed conditions or ambiguous genitalia. We are talking about men and women who are physically healthy, fully functioning - even to the point of fathering or bearing children - and obviously male or female.
Exactly what is different about feeling that physical reality is wrong regarding one’s sex as opposed to one’s race or disability?