Spiritual implications/reasons for gender identity crisis

[Jeremy]

Fully formed identity that goes against the vehicle provided which is where my confusion resides. I guess the 2d animal that houses our spirit is providing even that much more service by allowing one to change its external components. But in the end, biologically speaking, they are still their previous gender. When someone comes to the hospital, we don't note their new gender at all because medically and biologically they are still what they are internally just externally transformed. This is why I wonder if those that do this are 100% satisfied by the external transition.