“Angela’s” picture does peg the weird meter, doesn’t it?
Males have XY chromosomes.
Females have XX chromosomes.
The person your story talks about is a male, no matter how many body parts he cuts or distorts or tucks or how many chemicals he injects into his body.
Period.
Full stop.
End of story.
For a society that somehow thinks of itself as educated and scientific, we sure have found a way to pervert PERCEPTION over REALITY.