I especially don't understand how anyone can have a serious problem with transvestitism. For example, it's not like wearing make-up or dresses is directly linked to having a vagina, it's just something that our society has decided that women do and men don't, so how can someone be disgusted when a man says "actually, I like to do that, too."
And it seems a shame that they feel they have to then identify as a sex that doesn't fit with their genetalia even if they have no desire to change said genetalia, just because the way they dress doesn't fit with people's perceptions of that genetalia.
As for sex changes, people get facial reconstruction surgery on the National Health Service here in the UK if they have burns or other disfigurements, their faces may still work fine in a practical sense but their self esteem and general psychological health may be destroyed by looking that way. If you hate physically being a certain sex and it's destroying you psychologically I don't see why getting genital reconstruction should be much different.
And it seems a shame that they feel they have to then identify as a sex that doesn't fit with their genetalia even if they have no desire to change said genetalia, just because the way they dress doesn't fit with people's perceptions of that genetalia.
As for sex changes, people get facial reconstruction surgery on the National Health Service here in the UK if they have burns or other disfigurements, their faces may still work fine in a practical sense but their self esteem and general psychological health may be destroyed by looking that way. If you hate physically being a certain sex and it's destroying you psychologically I don't see why getting genital reconstruction should be much different.