[Secret Agent Man]

The rare hermaphrodite is one that needs a common-sense choosing of one or the other. In all other cases the equipment is what it is.

[Vaquero]

Agreed. There are the very few who are born with both…but it’s real and should be addressed.

The rest have mental conditions

[dsrtsage]

I have noticed that there are substantially more male to female than female to males in this category. This is despite the fact that women are horrifically oppressed in this country. It must be a really hard thing giving up all that privilege.

[so_real]

I once felt that way, but have since revised my assessment to "if it has a 'Y' then it is a 'guY'". With the introduction of a 'Y' chromosome comes the introduction of many physical and mental changes as well. For example, the Olympics has proved (to me) that allowing intersex individuals to compete against women, puts the women at significant (insurmountable) natural physical disadvantage.

[CatOwner]

The rare hermaphrodite ...

No such thing. Completely mythical.

Intersex, OTOH, does occur, and those individuals may require surgery and/or counseling at some point.