If you are the kind of guy that has uncontrollable sexual urges/fantasies whenever something in a skirt crosses your path, and has an "oh noes" moment when you realize you were checking out a dude... and/or are somehow sexually fascinated by this subject, then that's all on you. And it's pretty sad.
Just pass a "no cosmetic surgery" rule and you should be OK. That is, until some poor thing who had a car accident as a child and recovered to win regionals enters the nationals only to be refused because a doctor had to fix her face.
If it was born a male, it will always be a male.
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