Sex change is one of the most immoral and sickest things a man can do.
Who cares if America has the shortest list.
I have heard stories of men wanting to kill the man or/sex changed man , when they find out that they were really not a biologically born woman.
So, this whole sex change thing is very deceitfull and dangerous for the person getting it done!!.
Who really wants to be fooled about some one elses gender?!