Since men and women have different anatomy and different hormonal makeup, are there some concrete procedures where doctors absolutely need to know the patient's real gender?
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In terms of dosage for drugs is it purely determined by the gender or is it because males are generally heavier?
The reason I ask this is because this seems to me like the big elephant in the room in the whole 'misgendering' debate.
If I can make people happy by calling them by their preferred pronouns I don't mind, but when it comes to facts and science, like medicine, things are different.
When a doctor adjusts his medical procedure in accordance with the real gender of a trans person. He would be comitting a sin to the trans-dogma.