What about people who develop 'normally' as one sex, but go on to choose to change sex via surgical intervention later in life? This is surely a choice driven by someone's conscious sense of an elaborate, personal self-identity, actually working _against_ all biological predisposition.
No, not so surely. A person going from A to B surgically typically says biology predisposed the person to be A in some ways but B in others, and the B ones (neurological ones affecting that conscious sense of self-identity) are more important, hence the corrective surgery.
I know you'll argue that the person is wrong; no need to repeat the argument. We just need to recognize that the question is there. Maybe biology isn't as simple as X-X vs X-Y.
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