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spemanig said:
The science of it doesn't really matter. We, as humans, have transcended the biological idea of gender. It doesn't matter is she was born a he. It doesn't matter if she will always be a he to you. Just call her a she when you're in her presence. It's just a pronoun. It doesn't cost anyone anything to break that grammar "rule" once in a while if is makes someone happy and comfortable in the skin they're in.

So you think we are more than physical beings.  "comfortable in the skin they're in." and that they shouldn't have surgery?