http://en.wikipedia.org/wiki/XX_male_syndrome
Swager was actually born genetically female but with ambiguous genitalia. The quack doctor decided to modify her into a male without checking her chromosomes.
Later, when she’s an adult, she found out she’s actually genetically female after years of hormone therapy that made her 6’6” and 300lb.
That is so tragic. Frightening, really. Prayers for her.