How can you be confused about gender

I mean you are either born male or female . Anything else is just mental illness right . I mean no matter how many surgeries they do you will still be the gender you were born as

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SW-User

You can be born intersex. It is important to separate biological gender and the new liberal arts philosophy of gender being separate from biological origin. You can have genetic anomalies that differ from man and woman. You do not have to agree that your gender identity exists and/or is separate from your biological gender