the poll options maybe be stilted, but the bigger issue is with the question itself. i'm certainly no expert, but "gender reassignment" is hardly limited to removing the genitals, is it? i would think that the hormone therapy is at least as important. (i am assuming that you are talking about trans-gender people, and not simply asking about men who have lost their genitals... ala a eunuch or something)
it's an interesting question when one considers technology. i imagine at some point in the future we will be able to make trans-sexual or trans-gender (whatever the appropriate term may be) individuals to be more similar to the natural gender they are trying to emulate.
let's imagine, for example, that at some point we are able to create a fully functioning vagina, uterus and pair of ovaries in a person who was a biologically normal male (imo, this is certainly a possibility with biotechnology progressing as it is). does this person become a female now? if not, what's preventing them from becoming so, their history as a man?
what if this were done before that person reached puberty? what about as a newborn? what about as a fetus, in-utero? when exactly does the sex of a person becoming irrevocable?
from what tiny little i know about the current state of the procedures involved, i would tend to vote for the first option in this poll. but i imagine a distinction will become increasing less clear as the procedures evolve and improve.
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