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because a change in secondary sexual characteristics is not a change in gender
person can be a democrat and after a second brainwashing they become a republican
or
a person can be a republican and after a second brainwashing they become a democrat
but
if that person was a meaningless idiot, he will remain an idiot anyway
another brainwashing operation won't make him smarter
gender can't be changed even by surgery
it is possible to change the secondary sex characteristics for gender identification in society
person can be a democrat and after a second brainwashing they become a republican
or
a person can be a republican and after a second brainwashing they become a democrat
but
if that person was a meaningless idiot, he will remain an idiot anyway
another brainwashing operation won't make him smarter
gender can't be changed even by surgery
it is possible to change the secondary sex characteristics for gender identification in society