With those two snippets, my question becomes, are all sex changes considered to be done by people afflicted with a mental disorder...or have we hit a point now where a feminine man or butch woman are sympathizers, and it's truly become 'acceptable' and trendy for some. Is there even a way to quantify that??? I think I'm of relative sound mind, but if I had a spare $100k and decided I wanted to make my outie an innie tomorrow, because I'm really liberal and want to show support. That would be more making some kind 'statement' than necessarily qualify as mental disorder, right? I get that's over simplifying and not the typical track, so maybe if I were to follow through, there would be something wrong by default. Or is it all transgenders that get a sex change have a mental disorder, but not all sex changes are transgendered afflicted mentally?