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Some good questions.
I suppose the main problem is that TG want to act and dress as women in public -- they want to blend in, and if they can declare they are female on the application or on their licenses, there is less trouble.
You cannot demand that they get an SRS just to able to change their gender identity. The SRS is a big and very personal decision, and not everyone wants to go that far. Nevertheless, in their hearts and minds they may be women.
It's a very interesting problem, and I'm actually not sure what the solution is. Last time I checked, there was consensus in the mental health community that transgenderism was essentially a disorder. I don't agree with that, but that's what you're up against here.
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