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Jesus Christ, people. Stop confusing sex with gender.

Gender
1. Either the male or female division of a species, especially as differentiated by social and cultural roles and behavior.
2. A similar category of human beings that is outside the male/female binary classification and is based on the individual's personal awareness or identity.

Sex is physical, gender is cultural. A person can be physically born as one sex but feel and identify as the other. It's hardly any more of a choice for them than their sexuality is (you don't still think homosexuality is a choice, do you?).