I was reading the debate in the Baptist only forum, and I live in a town where many come to be "changed" surgically. I may have missed it--please tell me the post number if I did--but no one addressed the medical issue. At least some of the people that come here "John" and leave "Joan" have a disorder in their dna. Some were born both John and Joan and were assigned a gender at birth (surgically) that turned out to be wrong. That is, they have both male and female dna due to chimerism. And a few more have "John" plumbing and "Joan" dna. (Or vice versa.) In those cases, is there even a sin to discuss with "Joan"?