George Weigel, whose excellent book, The Fragility of Order, criticizes the excesses of Obamacare, has some remarks about the Gnostic (failure to recognize reality) legislative ventures of various States, such as same-sex marriage. You are born male or female, and to contradict nature because of the makeup of your mind is somewhat futile.
God, of course, has his own view of gender, and the birth records don’t recognize the sufferings of those with mixed-up biology. They have to fend as best they can with the majority. Christian kindness always saves the day.