........this a separate condition.
When we speak of transexuals, we usually mean people who think of themselves as other than their birth sex.
"Switching" their sex, reassigning their sex, is something they HAVE to do, not something that they want to do. In nearly every case, they do not "want" their condition, they do not want to switch sexes. If they could take a magic pill that would make them normal, they would take it.
On the other hand, there is a small subset of people who "want" to be the other sex - females would would prefer to be males, and males who would prefer to be females, for whatever reason. This different group, a distinct and different subset, KNOW that they are the sex that they were born with, but want to change it.
A female who "wants" to be a male ( and vice versa) even though she thoroughly understands that she is not a male, she understands that she was born a female and is a female, is no different than someone "wanting" to be a doctor, even though he never went thru medical school, or a person wanting to be a basketball star, even though he plays terrible, etc.
(A true transexual is not changing what they feel they really are.)
There are certainly tragic cases where gender is ambiguous due to genetic factors, but the question of ethics implies that there is a choice involved in the topic in question. I don't know anyone who would say that a person suffering from hermaphroditism is being amoral for opting to have a gender reassignment, but it does become an ethical and a moral question when it doesn't conform to that standard. To say "...there is a small subset of people who
"want" to be the other sex..." does imply one of two things, either 1) that this subset is smaller than the already small number of natural hermaphrodites, or 2) that this is a different group entirely. I'd question any idea that either of these two groups are fundamentally more common than the other.
It also speaks to something
innate to gender roles as a whole. In other words, these people are uncomfortable because of a deep-seated and natural desire to conform to a different
role than they were raised within. Liking pink over blue, having preference for frilly lace instead of dirty blue jeans, liking cats more than dogs, etc.. but more to the root of the issue, they identify with a different gender role than they physically constitute a part of. My question is whether gender is innate, or whether it's purely preferential. Is it aesthetic, or is it inherent? In my opinion and experience, it's a bit of both.
Obviously, for those who have a natural disorder from birth due to chromosomal variations, the answer isn't that it's simply preferential, but that this is an aspect of who they are, and they deserve to be who they are. There's some natural tendency towards relating to the world a certain way, and relating to other people a certain way that is inherent to who they are, and whether their physical gender reflects this or not, it's how they are. This is also something that's been known, to some degree, since birth in many cases and not simply a condition that was realized later in life. There
are people who identify as male, who are physically reflected as male, but have a preferential disposition towards being female for fetishistic reasons (and vice versa). In those cases, I'd say it is a question of ethics and morality. One group is naturally inclined towards a gender they may not have been born with and perhaps a doctor made a mistake in the delivery room, or some other factor beyond their control intervened to make them that way, while the other is simply acting on fetishistic, habitually reinforced desire. The problem is that the two groups tend to get mingled into ambiguity so nobody can tell the difference between them. I think it's generally good practice to make a distinction so the topic remains clear and concise rather than contributing to confusion.
So when I ask the OP:
Depends. Do you mean as in the fetishistic form of transexuality, or do you mean genetic androgyny?
I'm simply trying to clarify whether the OP is operating under the premise that there are no differences between the two, or whether the question is more relating to the fetishistic form rather than the natural genetic form.