[MikeSid]

As the athletic director for my kid's school, I encountered this issue about 6 years ago. Long story short, I started from the standpoint of simplicity. If it has a penis, it's a boy, end of story. But I ended up looking into this issue far more than I ever thought I would and came to the conclusion that gender is not so simple and is actually very complicated.

If you care to open your mind a little, start by reading about the Guevedoces of the Dominican Republic. A number of males are regularly born with outward appearing female genitalia and develop a penis at about 12 years old.

I have no answer for this issue, but for myself, I am convinced that for certain people gender dysphoria is real and physiological - meaning it's not just in their head. I don't know if that is true in all cases and I would guess that it is a very rare condition. But I'm now not so naïve as to dismiss it out of hand because of some simplistic knee jerk reaction to someone's uncomfortable condition.