how to not fix issues because it might affect a category
so here's my position: if someone feels like they're not the gender they were assigned at birth and that causes a lot of issues like depression and suicidality and whatever and if the solution to that is to give them some hormones and/or surgery...
just give them the hormones. give them the surgeries.
oh but it might challenge your ideas of gender etc etc etc.
screw gender.
i'm serious. your mental categories and constructs--no matter how load bearing to your organization of your mental universe--are not worth the suffering of other people.
if your own deepseated selfhatred is revealed in the process... well i guess you're going to have to figure out how to deal with that. without hurting people.