09-17-2014, 07:59 PM
It sounds as though you are thinking of transsexual or cross dressers which usually do involve choices. I am talking about the people whose brains do not match their genitalia. This is not choice, however, before they can have the surgery to change their genitalia, they must go through several months of counseling, testing, etc. to determine it is the real deal. I would imagine that this is the way to weed out the "phonies."