It doesn't get brought up because they didn't make an issue of it or make demands on everyone else. It's also a surgery based on physical medical need and practicality. No pushy activism was involved.
You cannot put down both or none on any government form that does not consider gender to be a non-biological thing.
Laws are not supposed to be selectively applied. If they can put down whichever one they choose, you are admitting your definition of 'man' and 'woman' do not apply to how society works.
I know "the exception that proves the rule" is a fun phrase, but it's not actually how things work.
But this is a biological thing. It's a medical condition. It's not your gender if you were born with both sets of organs. The point of equality was to get rid of laws being selectively applied. By your philosophy, race also works similarly. Someone who is latino is whoever says they're latino.
Again, laws are not supposed to be selectively applied. If they can put 'man' or 'woman' on any form, so can anyone else. Or do you think they need some sort of confirmation by a doctor before they're allowed to fill out any sort of government forms?
And so what if they do? Nobody is throwing you in jail for selecting the "wrong" box. And if there is some special program you're defrauding.. well.. treating people differently on this in the law isn't part of my philosophy.
Yea, you can put down whatever you want on government forms. That's no mystery. Whether people at large accept you as that what you claim is on them. The government isn't an arbiter of reality any more than you are.