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I love how people with no jobs, no responsibilities, and no real world experiences think they know everything.
I don't think I have to point out that people are born with weird chromosomal abnormalities all the time, and that has never impacted the gender they choose to live as.
There are a couple reasons: Many trans people feel dysphoria because of their genitals, and having reassignment surgery is the best way to make themselves feel better in their own skin. Others do so less for internal reasons and more for the benefit of others, i.e. being a trans woman and having a va**na will make it more likely for society to take them seriously as a woman. However I'd also like to point out that due to how expensive it is, and the risks that are involved, roughly about 80% of trans women don't even bother going through bottom surgery. So to say that all trans people NEED surgery isn't entirely accurate.