Medical and/or social gender transition need not involve denial of one's biological sex, but raises other taxing ethical issues. These range from sexual ethics issues narrowly understood to consideration of the claims of any spouse or children and indeed, of gender-discordant younger people who may follow one's example. As with intersex conditions, not all crossdressing or use of cross-sex hormones is excluded absolutely. Detransition, for example, could be rightly deferred for various reasons. However, as illustrated by the analogy of an infertile woman wanting to present as the pregnant mother of a child she plans to adopt, there is a significant social value in accurate bodily and other outward communication of one's actual/predominant sex (and occupancy of key allied roles).
