Seems to me like it’s another layer of the entitlement complex in this country. I wanna be something else and you need to enable it to happen. What if i wanna be 6’9 and black? Is this a clinical condition if i get depressed because I’m 6’1 and white? I think you would just say I’m mentally ill. Getting hormone replacement or reassignment surgery changes neither your sex or your gender. We exist behind our eyes so identify as whatever you wish, but physically altering your body is just superficial window dressing that belongs in the same category as face lifts and breast augmentation. IMO