You have a patient, Bobby, in clinic

You have a patient, Bobby, in clinic who is an 11 year-old born and classified as a male (XY genotype). however, both the parents and the patient tell you about his difficulties in life due to the patient’s self identification as a female. He strongly prefers to wear female attire and hairstyles and joins in play activities since his earliest socialization with other girls. On exam, the only sign of puberty is a beginning growth of pubic hair. Based on credible sources, discuss whether Bobby is a candidate for referral for sex reassignment surgery or not. Use the latest scientific authority to support your position pro or con. You may mention current moral and/or legal constraints, but base your discussion on the medical and psychological evidence only. reference please

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