Yes, that would be a "freak of nature", rare but by no means unknown. None of us here have the individual right or ability to set the policies; I just wondered how you would feel about it.

What you do have, from what you've said, is the ability and credentials to do counselling. So let me turn the thought this way. The individual was born intersexual, and surgically assigned (so far as that is possible) to one gender. That person later identifies him-or-herself psychologically as the other gender, with desires for the "opposite" sex. How would you be counsel that person to resolve the personal delimna?