There is a rather huge ethical difference between electing surgery and being faced with transphobic condemnation and diagnoses. I would say that the greatest risk of mutilation that trans people have comes directly from transphobia.

I think we are affected by others in all kinds of ways. I do understand what it's like to wish to control the conditions under which we can be affected by other human beings, but none of us really are.

There are doubtless all kinds of ways of explaining why people want security, but I do not think we can start with the psychological explanations. Even psychological states like fear or desire for safety are conditioned by social and political forms of intimidation and scare-mongering that intensify those emotions, and even work to persuade people that nothing less than their survival is at stake.

Whether or not we continue to enforce a universal conception of human rights at moments of outrage and incomprehension, precisely when we think that others have taken themselves out of the human community as we know it, is a test of our very humanity.

No matter whether one feels one's gendered and sexed reality to be firmly fixed or less so, every person should have the right to determine the legal and linguistic terms of their embodied lives. So 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.

What would it mean if we lived in a world in which no one held out for the possibility of substantial political equality, or for a full cessation of colonial practices - if no one held out for those things because they were impossible?

Masculine and feminine roles are not biologically fixed but socially constructed.