National Review's Kevin Williamson is spot on today with his take on the story of Bradley/Chelsea Manning (emphasis mine):
We have created a rhetoric of “gender identity” that is disconnected from biological sexual fact, and we have done so largely in the service of enabling the sexual mutilation of physically healthy men and women (significantly more men) by medical authorities who should be barred by professional convention if not by conscience from the removal of healthy organs (and limbs, more on that later), an act that by any reasonable standard ought to be considered mutilation rather than therapy. This is not to discount the feelings of people who suffer from gender-identity disorders — to the contrary, those feelings must be taken into account in determining courses of treatment for people who have severe personality disorders. But those subjective experiences do not render inconsequential the biological facts: A man who believes he is a woman trapped in a man’s body, no matter the intensity of his feeling, is no such thing. The duty of the medical profession is not to encourage and enable delusions, but to help those who suffer from them to cope with them. It is worth noting here that as a matter of law and a matter of social expectation, the fiction of sex change is treated as the paramount good: We are not expected to treat those who have undergone the procedure as men who have taken surgical and hormonal steps to impersonate women (or vice versa) but as people who have literally changed sex, which they have not — no more than Dennis Avner, the famous “Stalking Cat” who attempted to physically transform himself into a tiger, changed species.
The whole thing is very thoughtful and introspective -- definitely worth a read.