The OBJECTIVE REALITY here is determined by Nature : males are males and females are females. That has always been one of the driving forces of evolution: Darwinian " sexual selection ".
What if the individual male might think he is Queen Cleopatra reincarnated ? No equally self-deluded Julius Caesar will give him/her a baby emperor.
Quack surgeons try to correct a profound IDENTITY crisis with a malpractice operation. This happened in my own family . To one of TWINS . The other twin was happy as " female ". BOTH are loved.
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