Remember a while back, I think I read it on FR, that a biological male in Britain who had had a sex change operation was demanding a Pap smear?
The doctor was refusing and the case ended up in Court. The Court decided that the he-she was entitled to a Pap smear and the doctor sarcastically asked for guidance on how to perform an exam on a body part the the patient had never had. :-)
The folks across the pond think we're unsophisticated rubes and cowboys. I think they're more stupid and/or evils than our rats.