Sex and gender are not synonymous, the authors wrote. While sex relates to biology: the chromosomes, hormones, and reproductive organs, gender relates to societal roles, behaviours and expectations.
When you’re doing medicine this is rather important, to note and record the difference.
Depending upon how radical the chopping the trans female may need prostate exams as the trans male does not. So too the cervix and the trans male but not the trans female.
As the doctors go on to point out, gender also matters because gendered behaviour does indeed extend to things like going to the doctors and also doing what they tell you to.
The way we know society has gone mad is that any of this is in the slightest bit controversial.
The Royal College of GPs already recommends that sex and gender are recorded separately in medical records, but standard NHS systems do not allow for this, the authors argued.