I disagree. They were born a male and they will die a male. Upon close investigation, it can be determined that they are still inhabiting a male's body. Wether someone is male or female can not be changed just because they wish it so. Some things are simply impossible to be changed
BTW, this conversation reminds me of when I used to folow DemocraticUnderground.com. There was a guy or girl (can't recall for certain) that believed he/she was an animal (I think it was a panther, but could be wrong) trapped inside a human body - species identification disorder, basically.
He had all kinds of surgeries and was featured on his local news for everything he had done to change his appearance. He insisted he wasn't a human, but just an animal. No matter how he lived, what he did to his body or what he wanted to be called, he was still a human. He may very well have found that disrespectful, but sometimes reality is truly a harsh mistress.
I have no doubt that I will be called all kinds of names for giving the appearance of comparison between the two cases, but so be it.