Because sex is more than just the genitals, even physiologically it permeates all aspects of the musculo-skeletal structure. It is also integrated into the brain structure, the endocrine system, the emotions, all they way down to the chromosomes. The presence of the Y chromosome, even when there are abnormalities, indicates the person is a male.

All of this is because femininity and masculinity are properties of the soul. Thus, one cannot have a sex change. It is rather a mutilation of the body. There are many reasons that there is a failure in some people to understand and accept their sexual identity as a man or woman. Sometimes incorrect hormonal exposure during gestation can cause the brain to develop a structure more in common with the opposite sex, nurturing factors also can play a part, such as especially weak fathering.

Any way, my point is that this reflects an affective/psychological disorder. Whether this disorder is a contributing factor to their reason for being in jail or not, for their safety these patients should be separated from the rest of the general prison population and treated so that they can eventually accept their identities as God made them.

I guess I pose this question with regards to inmates that have had a sex change operation in general, and not just this isolated incident.