I didn’t say that the hospital personnel were involved in the gender role—the parents would generally take the lead on that one, but they usually use the medica

I didn’t say that the hospital personnel were involved in the gender role—the parents would generally take the lead on that one, but they usually use the medical advice as a basis. Yes, it’s unusual for all these aspects (assigned sex at birth, phenotype, gender identity, and so on) to not match, but it’s useful to have separate terms for the cases in which they don’t—as in the case of our hypothetical 14-year-old. (Thanks for the correction on the field name; edited.) (EDIT to your edit: I changed the text on that comment and then spent a couple extra minutes rephrasing this comment before I posted it. Probably I should have done those in the other order, sorry about that.)