“Although Facen had breasts and lived as a woman, the Sheriff’s Department was treating her as a man because she had male genitalia, Lt. Tom Bennett said.”
That is, IMHO, a very legitimate and real reason to have surgery. It was one I considered, to be sure.
More like Reason #3, IMO! ‘Cos few thing suck worse than dealing The Cops while in between. BTDT, and I was *lucky* they were in a friendly mood, and locked me up all by myself until it was time to appear before the judge in the morning. Moral: it is best to avoid the police until you will no longer confuse them.