One of the things that many people don’t fully understand as well as they should is that transgender people have the brains of the gender they identify with. In the case of non-binary and gender nonconforming people, their brains are somewhere in between the two binaries. The bottom line, however, is that there is a real biological difference in the brain. That’s why terms such as the way someone perceives themselves or identifies as a social construct etc. is so misleading. This ignores the medical biological reality of a difference. It’s just as fixed as external primary sex characteristics. In the same way that those are easily identifiable, the differences in the brains are easily identifiable with the proper testing or examination protocols. Both involve biology. The only difference is that one aspect is readily visible. The other is not. But that does not make it any less real or less anatomically significant. It is important for people to understand this is not a choice or a whim. It is hardwired into our anatomy and physiology. And it never goes away. People who try to compromise or remain in the roles that society has thrust upon them ultimately suffer from a great deal of pain and mental turmoil. There is a reason the transgender community suffers an attempted suicide rate approaching 50%. That’s why the mental health profession does not consider gender identity to be a psychological pathology. It is a very real and normal human variant. Rather it is only the underlying dysphoria that needs to be addressed. And that is done through appropriate medical and surgical intervention. I admit that there are a very few who are happy just with social transition involving nothing more than a change in clothing and hairstyle, but they are rare.