Technically there is an in between. About 1 in 2,000 babies are born with both ("intersex" aka "hermaphrodite"). But that's really infrequent and has nothing to do with contemporary leftist insanity. It's the only situation I think surgery could make sense, and only if the individual wants it and isn't pressured into it. Not clown world where normal kids are being led to the surgeon's knife. https://www.gotquestions.org/hermaphrodites.html http://www.isna.org/faq/frequency