The idea that a persons sex is determined by their anatomy at birth is not true, and weve known that its not true for decades, said Dr. Joshua D. Safer, an endocrinologist and executive director of the Center for Transgender Medicine and Surgery at Mount Sinai Health System in New York. He is also president of the United States Professional Association of Transgender Health. Well, of course that would be his opinion. Look who is writing his paycheck. DUH!