"It's personal, it's my privates, it's not necessary. It's a very expensive procedure which I can't afford..."

"... and it's got complications. I'm not sexually active. If I was 21 and I could afford it, yeah, but I'm 59."

Says Joann Prinzivalli, who has male genitalia but would like to require the state of New York to amend her/his birth certificate to identify her/him as female. New York already complies with requests to amend birth certificates to change a person's sex if there has been "convertive surgery" on the genitals. If you think Prinzivalli's demands sound extreme, you should know that the transgender rights movement has already achieved successes that you may not have factored into the scheme of your traditional/antiquated thinking:

The US government and many US states, as well as the UK and Australia, have done away with the requirement for surgery to convert the genitals. That is partly in response to transgender activists who say the requirement was based on an obsolete understanding of sexual identity.

In 2011 the Transgender Law Center successfully pushed for passage of legislation ending surgery as a requirement to obtain a new birth certificate in California....

Under the 2004 Gender Recognition Act, the UK does not require genital surgery before allowing individuals to obtain official recognition of their new gender.

And in 2010, the US State Department issued new guidelines requiring only "appropriate clinical treatment" to obtain a new passport or a birth certificate for US citizens born outside the country.