I have certain sympathy with the thoughts of rocky.
We do not know chromosome configuration of our subject but as he was born with uterus and ovaries then i bet he has XX chromosomes and hence is female.
Now......he thinks he is male. Why? How does he know what a male feels like....he plays with boys, plays football, dresses and frocks do nothing for him and I presume he has menstruation (periods)
Unless they is tangible evidence to the contrary, she is a female, the only evidence that we have, is what he tells us.
Is that enough?
Not for me it isn't and reconstructive surgery on the suggestion of a Psychiatrist is not good enough and poor use of tax payers money.
Just my opinion.