Note: This was written in response to a claim sometimes made in regards to choices about sexuality. If people see orthodontists to straighten crooked teeth and eye doctors to correct impaired vision, why should someone not also seek to have surgery to alter one's sexual identity on a physical level to match one's internal sense of sexual identity for those struggling with gender dysphoria?
To be clear, as 1 Corinthians 5:12-13 says, "what have I to do with judging outsiders?" Everyone is free to do as they wish. Those outside of Christ will not consider themselves bound to The Bible and thus wouldn't be following it anyway. While of course I think they should, first I think they should get saved by Jesus as they won't be able to fully understand or adhere to His Word otherwise anyway. There is of course much more that could be said on this but this is my concise summary of some of what The Bible says on this. This is an attempt at a Biblical view of the subject and why I believe it's best to accept the sexual identity God has given us rather than fight it.
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A trans person 18 and over is free to do as he or she wishes with his or her body, in regards to body modification via reassignment surgery.
I don't think a child should be allowed to make such a life-altering decision as a child is still mentally developing and may have a change of feelings down the road.
In regards to the common rejoinder mentioned earlier here, I would say this. God did not make anyone with bad vision or crooked teeth. When God saw His creation on the 6th. day, He said it was very good. (Genesis 1:26-31)
Ecclesiastes 7:29 says that God made man to be perfect but man has gone off in search of many schemes.
When man sinned and rebelled against God, the whole was cursed with sin and subjected to futility, as Romans 8 explains. (See also Genesis 3.) This is when bad vision and crooked teeth and other ailments started cropping up. I believe this is also where proclivities toward forbidden sexual relations came up as well. (It's important to note here that being born with a particularity proclivity for a particular sin is of course beyond any person's control. Temptation itself is not sin; acting upon it is though.)
For the other example, if God made someone a brunette, then that person is a brunette. Dying hair to make it blonde does not make that person a blonde. Eventually the dye wears off and the natural roots will grow back out.
The same is true with transgenderism. A person can change outer and inner genitalia and hormone levels but this doesn't change who that person is ultimately. The chromosomes are still the same. Their identity doesn't change in God's eyes.
That said, I don't think it's wrong to dye hair (though I have no desire to do so, particularly because I believe I should be happy with what God has given me in hair color. That is something God gives me. The moral weight of changing sex is quite different from changing hair color, as I don't think there is any for that.) Fixing bad vision and bad teeth is an attempt to temporarily address products of the fall that will one day permanently be fixed with a new body in Heaven for all those in Christ.
The distinction with transgenderism is that God has forbidden sexual relations with the same sex. (Romans 1 is a particularly good passage for this but note also Jesus' words in Matthew 19.) A transgender person engaging in sexual relations with his or her birth sex after transition would thus be violating the command against homosexual relations.
And in Deuteronomy 22:5, The Bible also forbids cross-dressing. Thus, it would follow that a transgender person wearing clothing of the opposite sex, even after having had transitional surgery, would still be violating this command.
This is simply not God's design and trying to rebel against it simply continues to subject transgender people to futility. Note what God says in Romans 9:20-24. Does He not have the right as Creator to make His creation as He sees fit? The clay can't tell the potter that it doesn't like the design- the clay has no say in the matter.
2 Corinthians 4:7 says we have this treasure- that each person made in God's image is- in jars of clay. The surpassing power belongs to God and not to us. Jesus says we can find rest for our souls in Him. (Matthew 11:28) Ultimately, He is the One we can and should take our dsyphorias in life to so we can have that rest in trusting our lives to the hands of our loving Creator.
In the end, when we are saved through faith in Jesus' death and Resurrection, we'll find the restoration and satisfaction we desire through Him in Heaven. Until we get to Heaven, He helps us along the way here in the far country in dealing with these groanings. There is a day coming when all shall be well eternally and that's what I look forward to in the midst of this present suffering, knowing that the weight of glory coming far outweighs anything I go through here.
(For further reading, I found this article from "Christianity Today" extremely helpful and gracious in talking about and understanding a Christian response to this topic.
https://www.christianitytoday.com/ct/2015/july-august/understanding-transgender-gender-dysphoria.html )
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