Or the pair of humans, both born female, now both mutilated to approximate an external similitude of a male form, and counting themselves as men.  Were they lesbians?  Are they homosexuals?  Are they into sodomy?  I'd expect them to be basically asexual now.  Seems like a paradox, but I just think all the confusion sort of neutralizes itself out.  Neutered, so to speak.
Imagine the level of confusion.  It can count as nothing less than a sort of madness.  A combination of magical thinking and a failure to transition out of object impermanence.   Infantile, then.  But if we do imagine it, we cannot help but be subjected to some measure of compassion.  How wretched a state.  Fretful, self-spiteful, self-loathing.  Like taking a razorblade to yourself, the way disaffected teens do. I'm sure most of us have some sort of secret issue.  But for my part, I really like my penis and its accoutrement.
Then there's the idea that the government should underwrite these mutilations.  If there is such a thing as gay marriage, where the state ratifies the union, well, why not the changing of a gender?  If Evolution is real, where one thing becomes another, then alchemy is a literal if not scientific reality.  Just because it's not recognized doesn't mean it's not real.  So is it real?  Law is reality.  If the state recognizes a thing, it brings the coercive power of its institutions to support and  protect and promote that thing.  So gay unions, and sex removal operations, and don't ask don't tell -- these matter in more than a passive, a societal-mutilation way.  They have expanding consequences, the way castration causes depression, sort of a postpartum thing.  
Ah well.  Nothing is ever solved.  We just throw out lifelines, trying to rescue or to be rescued.  Sometimes it's just words.  But honestly.  If I think my left arm is possessed by Satan, and suffer somatic dysphoria from this, is the appropriate therapeutic remediation to amputate the arm?
J
 

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