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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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xixgun · M
I just find it funny that when scientists say, "Wow, it's hot today".
GAAAHH! Global warming! The scientists say so!

But when scientists say, "There are only 2 genders and regardless of what equipment you have, your chromosome count determines it."
POPPYCOCK! They don't know anything!