Its why its frustrating when allies come on here and say no one thinks they can literally change sex, no one is denying sex, its all about gender and perception.
Lots really do believe that they change sex, they have been assigned the wrong sex, or sex is so complicated, no one knows anyone's sex.
It is telling that the women acknowledges her sex. I suspect for men, sex is just cosmetic, but for women the reproduction potential is very real.