Thought I would never ask a question like this but seems like it is now genuinely something people now don't know.
Some people label a woman as an identity. You are only a woman if you choose to identify as one. You don't need surgery, although you can. A woman is just one of hundreds of self proclaimed genders and we can't assume someone is a woman.
One example
An archaeologist has been harassed for labelling ancient human remains gender identity.
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