You have no evidence that photo is photoshopped. Your bigotry just doesn't allow you to deal with the reality that there are plenty of transgendered folks whom you could never tell are transgendered.
It isn't about how well they can mimic the opposite gender for me, it's the desire to be something you aren't. They should be thankful they have legs, arms, eyes, etc. instead of pretending that gender is a state of mind. It isn't no matter how ignorant or wishful you are. Calling someone else a bigot for failing to agree with your politically correct bullshit is hypocritical.
The concern I refuted was for how a 12 year old girl might feel uncomfortable being cared for by a transgender. Please try not to deviate from that because I have demonstrated a 12 year old girl (or even you) might not be able to detect it's a guy.
As far as bigotry, I put that out there since the comment meets the definition of the word, not because anyone disagreed with me. Words do have meaning.