By Julia Serano

Phew. Comprehensive.

Attempts to delegitimize transgender lives and experiences often rely on overly simplistic claims about “biological sex.” Drawing on my previous writings and background as a biologist, here I challenge these common presumptions and instead present a more holistic understanding of sex, gender, and trans people.

Their starting premise (and desired conclusion) is: There must be a strict binary because that would define trans people out of existence. When we discuss how gender identity and gender expression vary in the population, they claim that “gender” is somehow completely divorced from “biological sex” (it isn’t, see video). When they insist that genitals are the primary determinant of sex, we point to trans and intersex people who fall outside of those expectations. When they shift from genitals to sex chromosomes, or the SRY gene, we point to even more exceptions there. So now they’re championing gametes, but once again, there are always exceptions. Because human beings, like all animals, display some degree of sexual variation.

Speaking of all animals, the second reason why gender-critical activists have embraced gametes is that they believe they have stumbled upon a universal definition of sex that overrides all other conceptualizations (and we know how much they love their definitions). Their argument goes something like this: “In organisms that sexually reproduce, scientists categorize the sex that makes the larger gametes as ‘female’ and the sex that makes the smaller gametes as ‘male.’ Therefore, we must use this same standard when [checks notes] deciding which human beings can use which restrooms or play in which chess tournaments. Because science!”

Like “detransition,” “regret” can also have different meanings. Narayan et al. (2021) surveyed surgeons who perform gender-affirming surgeries about their experiences with patient regret (which they reported to be in the 0.2–0.3% range). They documented three different “types” of regret: “true gender-related regret” (typically a change in gender identity), “social regret” (typically due to external pressure from family members or societal transphobia), and “medical regret” (e.g., complications due to surgery). Notably, they reported that only 6.5% of patients who experienced regret believed that they had been “misdiagnosed.”

In other words, just as we shouldn’t conflate “detransition” with “regret,” we also shouldn’t conflate “regret” with inadequate assessment or having been misdiagnosed as transgender. Once again, this confirms my previous point that the “mistaken and regretted transition” narrative only applies to a small fraction of those who detransition, and thus represents a miniscule number of people who choose to transition in the first place.

To put these numbers in perspective, let’s try a thought experiment: Imagine 10,000 people transitioning. If 2% of them experienced detransition or regret, but only 6.5% of those individuals felt that they had been misdiagnosed as transgender in the first place, that would represent 13 people. Out of 10,000. That’s an incredibly small number of people — no wonder journalists and politicians who want to promote the “mistaken and regretted transition” narrative have to rely on the same handful of detrans interviewees over and over again.