It is always brave to insist on undergoing transformations that feel necessary and right even when there are so many obstructions to doing so, including people and institutions who seek to pathologize or criminalize such important acts of self-definition. I know that for some feels less brave than necessary, but we all have to defend those necessities that allow us to live and breathe in the way that feels right to us. Surgical intervention can be precisely what a trans person needs – it is also not always what a trans person needs.

My sense is that we may not need the language of innateness or genetics to understand that we are all ethically bound to recognize another person's declared or enacted sense of sex and/or gender. We do not have to agree upon the "origins" of that sense of self to agree that it is ethically obligatory to support and recognize sexed and gendered modes of being that are crucial to a person's well-being.

Whether one wants to be free to live out a "hard-wired" sense of sex or a more fluid sense of gender, is less important than the right to be free to live it out, without discrimination, harassment, injury, pathologization or criminalization - and with full institutional and community support. That is most important in my view.

I do not deny certain kinds of biological differences. But I always ask under what conditions, under what discursive and institutional conditions, do certain biological differences - and they're not necessary ones, given the anomalous state of bodies in the world - become the salient characteristics of sex.

What does it mean then to live with one another? It can be unhappy, it can be wretched, it can be ambivalent, it can even be full of antagonism, but all of that can play out in the political sphere without recourse to expulsion or genocide. And that is our obligation, to stay in the sphere with whatever murderous rage we have, without acting on it.

It is true that non-governmental organisations working within strong human rights frameworks are now confounded by securitarian forms of logic and power that extend the paternalistic bias of their work in new ways.

So for instance in rap music, you very often hear words that would seem very racist, or very misogynous or very homophobic but in some of those instances, the words are being taken back or redefined so that they lose their injurious quality.