...Simply, pretending to be the sex you were not born into is but “play acting” by individuals who do not need sex reassignment surgery but need serious psychological help for these folks identity is tied up not in reality but in how they “feel” about what sex they are...“touchy-feely,” kumbaya, anything goes nonsense to the nth degree.
And here I'll add that the root cause of such issues, especially when it concerns a minor child, can usually, but not always, be placed on the child's parents who for whatever reason see and treat their son as the daughter they didn't have or see and treat their daughter as the son they wished they'd had.
Remember, all children are born with a mental blank slate...a
blank slate that with time, teaching, and learning coupled with their
genetics forges who they are as a person...both character and
sexually wise. Yet nothing done to their outward physical appearance
can change their actual biological sex as there, at this time,
remains no way for human DNA to be altered to such a degree that it
can change one's genetic sexual code....Read entire article here.