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[–]PassionateIntensity 6 insightful - 1 fun6 insightful - 0 fun7 insightful - 1 fun -  (1 child)

Or because he still looks and sounds like the sex he is and it creates cognitive dissonance to mis-sex him. Unlike with a last name change.

[–]immersang 5 insightful - 2 fun5 insightful - 1 fun6 insightful - 2 fun -  (0 children)

This. Looking at a woman and connecting a new last name to her isn't inherently confusing. Seeing an obvious man and having to force yourself into thinking "she", that's a whole different thing.