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Quite a lot of men who identify as women and vice versa don't want to go through the trauma of sexual reassignment.
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In that case you're still biologically a man and should thus be marked as such in official documents.
I don't go around bitching that I want to change the height in my passport because I'm not happy with how tall I am. Even if I would go around wearing pumps every single day, it wouldn't change my actual height and thus it shouldn't be changed on an official document.