Fundamentally, I believe it's how they want to be treated culturally, but in our society, we tie gender and sex so closely together, that to be treated the way you want to be treated culturally in society, you need to change some of the sex based features you have.
In a better society, a medical approach wouldn't be needed. In our society, we _should_ accept that it is.
That's my opinion, and it's a pretty weakly held opinion, someone could dissuade me from it.
Fundamentally, I believe it's how they want to be treated culturally, but in our society, we tie gender and sex so closely together, that to be treated the way you want to be treated culturally in society, you need to change some of the sex based features you have.
In a better society, a medical approach wouldn't be needed. In our society, we _should_ accept that it is.
That's my opinion, and it's a pretty weakly held opinion, someone could dissuade me from it.