This type of thing just gives me the willies. I hate to sound cruel, but i think so much of these feelings are manufactured by very unhappy people, not because of anything other than just personal unhappiness with their body image, lack of friends, popularity, etc. They get weird thoughts, etc., and then someone tells them, Oh! you must be a trans neuter gender bi something or other. People rarely had this issue before all these surgeries were available. I beleive there are some genuine cases of people who have something skewed in their makeup that warrants this, hermaphrodites, etc. But I think it is rare. My son is 19, and I would have him in counseling immediately with someone who was level-headed, non-progressive type. Just good old common sense. I believe all the "help" progressive type-people try to give teens sometimes ends up being a big hurt.