Sudden realization: if you get a bone marrow transplant and your donor is a woman and you're a man, you can LITERALLY say you're a woman because of your DNA.
Even if you're a tall fat ugly troll with a Santa looking beard that you shaved off but is growing back out like it wants to run off your face.
It's GOT to be way less painful than cutting off your junk and dilating for the rest of your life. Not that I would, ah, mince my meat, but the transplant part is kind of non-optional in my case.