Sexual Dismorphia and identity disorder are both listed in the DSM and are a very serious mental disorders that ravage families every year.  The worst damage is to children thought to suffer from the disorder by well-meaning parents and families who entertain the disorder instead of seeking treatment.  The APA and many other medical groups are vehemently opposing surgery and delusion-supporting behavior by family, also as evidenced by a 40% suicide rate even after such surgery.  You and other Leftist would deny science and make evil demands on society to use made-up words and accommodate delusions, and you would do so at the point of government guns pointing at us to do so. It is beyond horrible.