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Why does a social construct require surgery to fix?
I think it’s a valid question, and I don’t think you should be downvoted actually. Now, I hope you do read my answer.
The answer is that some components of gender are socially constructed — like what different genders wear, what roles they fill, and certain behaviors. However, there is also very likely a component of gender that is biological and doesn’t always manifest itself in your bodily form or sex organs, but in the brain.
We know from genetics that it’s common for mutations to occur. We also know that certain chemicals and hormones impact brain chemistry, especially during gestation. So, why is it so far fetched that how one thinks of one’s self in their mind might not align with their bodily characteristics?
Sure, on the whole, people who identify as masculine in their brains tend to have a penis and tend to be physically attracted to those who present outwardly as feminine and have vaginas. And those who identify as feminine tend have vaginas and tend to be physically attracted to those who present outwardly as masculine.
But, nature, genetics, and hormones can result in those three components - gender, sex, and sexual preference - having different combinations. Trans folks might have a physical body that is different from the gender they feel they are in their mind. They might feel relieved to bring these two things into alignment, and even to adopt some of the socially constructed components of a gender that they identify as in their mind.
We also know from the existence of gay and lesbian people that sexual preference does not always align with one’s sex or gender. It is possible to identify as a man, and to be attracted to men. It is possible to identify as a woman and be attracted to women. Why? Well, nature, genetics, and hormones can some times create people who have small differences from the average population.
That’s all it is and the existence of these types of people poses no real threat to you. Nor are their differences from your own a valid reason to deny them equal treatment under the law, nor privacy in the medical decisions they make to feel more like themselves.
I think their point is that once biology is involved it's no longer a social construct.
I also think that people conflate sex and gender and it makes things unnecessarily confusing.
For sake of argument let's stick with binary for now.
There are words that describe sex. There are words that describe gender. And there are words that can be used as a shortcut for a combination of both.
For example (and if you don't like my example substitute your own words): a masculine female is often called a tomboy or described as butch.
TERFs probably feel that the term woman is a shortcut for feminine females, and that those who aren't female but are feminine are not Champagne, they are sparkling wine. And it's easy to see why someone would be insulted by that opinion. Strictly speaking, being told "you're not a woman" isn't necessarily an attack, or stating that you shouldn't exist. But yes (obviously!) people with extreme views jump onto that bandwagon and are willing to kill/oppress to make everyone the same cuz they can't handle weird people.
Yes, trans people are weird (queer means weird!). But weird isn't bad, and people who think weird is bad are not people I would want to hang out with, even if they also happen to be trans. Pride is about pride: own your weirdness.