Would you still strongly desire sex reassignment?
Yes
You have physical dysphoria independently from perception of gender by others. How does that not clinch it utterly and completely?
You have physical dysphoria independently from perception of gender by others. How does that not clinch it utterly and completely?
Because while it exists for both primary and secondary sexually dimorphic characteristics, it is much stronger for the secondary ones.
Also, can such feelings not be generated by motivated cognition? See body dysmorphic disorder.
If it's worth saying, but not worth its own post, even in Discussion, it goes here.