At the risk of pissing everybody off, I'll dissent (oh god, here come the Mobs and their Mods!). A person can be gay and a person can be as masculine or feminine as they please because those are very much subjective and I'm not gonna judge for that, but Male or Female is a Genetic Construct not a Social one. People are what they were born and what they naturally become (barring birth defects, degenerative conditions, and injuries. Those are unfortunate conditions, and I'll never seriously rag on DS Donny for his DS or Handicripple Henry for his walker, though I do crack jokes, hell I've got Autism and a good chunk of my family have permanently crippled themselves, humor is the best way to live with it). When somebody is convinced that they can fly in the face of reality we say they're dillusional and get them help if they try to prove it off a building. I hold the same belief on sex change; XX or XY, and if someone thinks that drugging and surgically mutilating themselves will change that (which it won't) then clearly their problem isn't their gender. I believe similar for (non-reconstructive) cosmetic surgury too. People are what they are, not what they think they are or should be. If you were meant to be it than it would be possible to achieve naturally. To make yourself anything different is wrong, you betray yourself by doing such and you tresspass on the realm of God's work.