But the doctors do not fix them and it does not work.  

I don't care what sex someone wants to identity.  I don't care how someone wants to dress. Such people may want to deny reality--and that is their business.  That does not entail that I have to deny reality or that other people have to deny reality. That is my point.

If a person who is clearly a man wants to identity as a women--and get a doctor to perform surgery to make the man look like a women, that is their business.  That does not make them a women--and that is not an obligation on me to recognize them as a women.  They can deny reality if they want--but I should not be forced to deny it, nor should the government.