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If you have a Dick you are a boy, If you have a Pussy you are a girl. Its pretty simple really. If you are born with a  dick and have it removed you are still a man but with female genitalia. Same goes for people born as a woman and changing to a man. If you require synthetic hormones to change any part of your appearance, voice etc. than you are the opposite of what those hormones are making you. This liberal push to make people think they are something besides what they are born is literally the loons running the asylum.