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I'm not able to wrap my head around how trans women with a vaginoplasty can still not be recognized as females
You can't surgically create a vagina. it's a complex organ, not just a hole in the body. additionally, a vagina is not what determines someone is female - being female is what creates a vagina. every cell in your body is sexed by your y or lack of y chromosome, so surgically removing your penis just surgically removes your penis, not change your sex. I think if a doctor claims he or she can change your sex, you should run the other direction, even if that's something you wish was true. It's not scientific, it's not accurate.