Spock and his betrothed, T’Pring, inadvertently swap bodies in Strange New Worlds episode 1×05 “Spock Amok.” The two of them are facing relationship challenges and planned to spend some time together. Work interrupted. Spock was unexpectedly called to participate in diplomatic meetings. T’Pring delayed her work commitment and was not impressed that Spock ditched her for his work.

In an attempt to understand the other one better, Spock and T’Pring attempt a “soul sharing” and, oops!, they swap bodies. T’Pring, in Spock’s body, must attend the diplomatic meetings. Spock, in T’Pring’s body, must fill in for T’Pring (she works to rehabilitate violent criminals and bring them to logic with the goal of reintegrating them into Vulcan society) and escort a dangerous criminal to a treatment center.

And would you believe? They understand each other better after trading places! Seeing from the other one’s point of view contributed to their understanding, which strengthened their empathy for each other and thus strengthened their relationship.

Imagine an apostle and his wife switching places for a week. What would it be like if Elder Husband traded places with Sister Wife? Perhaps the apostle would learn something about how it feels to basically be someone’s travel/living assistant. Perhaps a spouse realizes that she would rather be a travel assistant than speak in public and pose for a million photos.

I read Laurie Lee Hall’s memoir, Dictates of Conscience: From Mormon High Priest to My New Life as a Woman (Signature Books 2024). I highly recommend it.

Transgender Perspectives

We all know that in many contexts, men and women have different experiences. Perhaps they are treated differently based on their gender, or have different priorities and want different treatment. Perhaps men tell women they’re overreacting. Perhaps women tell men that they’re being insensitive.

Wouldn’t it be amazing if we could hear the perpsective of someone who has functioned in society as both a man and a woman? We could learn so much about gendered experiences from transgender individuals.

This speaker, Paula Stone Williams, spent much of her life as Paul Williams, who worked for evangelical churches and was the CEO of a religious nonprofit until she transitioned. She’s a skilled public speaker, and her views on living as a man and living as a woman are fascinating.

Unfortunately, these voices are being silenced by hatred and bigotry. I know conservative Christians get upset when people don’t fit into their neat little box of religious beliefs, but we are missing out if we allow Christian beliefs about gender to silence such important experiences.

Transgender Medical Benefits

I’m not going to try and debunk all the conservative propaganda that says transitioning genders is medically risky. It’s all propaganda and fear-mongering. Conservatives don’t read stuff like that anyway, so no need to waste my time. Instead, I want to talk about the immense medical benefits that transgender people could contribute.

Women are three or four times more likely than men to have an autoimmune disease. Whether it’s lupus, multiple sclerosis, fibromyalgia, or rheumatoid arthritis, women are afflicted at much higher rates than men are. Why? Well, that’s a good question.

“Women have up to a fourfold increase in risk for autoimmune disease compared to men. Many explanations have been proposed, including sex hormones, the X chromosome, microchimerism, environmental factors, and the microbiome. However, the mechanism for this autoimmune sex bias remains obscure.” [source]

Is it genetic? Is it hormonal? How could scientists possibly separate out those factors to see if one factor has more of an impact than another? I mean, you can’t just turn off estrogen or change someone’s chromosomes. Except … maybe there is a population in which those factors could be separated. Do transgender women have autoimmune diseases at the same rate as cisgender women? Or at a higher/lower rate? Is the instance of autoimmune diseases among transgender women different based on whether they transitioned before or after puberty?

Then doctors can flip the factors and study autoimmune diseases in transgender men. Do those XX chromosomes cause autoimmune disease? What impact does testosterone have? Here’s a study that concludes that an X chromosome may contribute to autoimmune diseases. Wouldn’t it be fascinating and educational to see if transgender men have greater or lesser rates of autoimmune diseases?

Imagine being able to study the impact of chromosomes and hormones separately! Just by letting transgender people live their lives the way they want, and get adequate medical care and thus show up in databases of diagnoses, the transgender population could advance our understanding of causes and cures of gender-related diseases. Scientists could make progress in determining causes and treatment of autoimmune diseases if they studied these disease patterns in transgender women or transgender men.

A transgender pouplation could be a valuable resource in studying literally any other disease that is more prevalent in one gender than in another. Even for the reproductive anatomy diseases — like prostate cancer or ovarian cysts. Do transgender women get prostate cancer at greater or lesser rates than cisgender men? How do hormones affect cancers and diseases of the reproductive system?

One more medical benefit gifted to the world by transgender people: experienced genitalia surgeons. Heaven forbid, but say you’re in a terrible accident, or a burn victim, or get a tumor in that most sensitive part of your anatomy. Would you like reconstructive surgery by someone who has successfully completed dozens of bottom surgeries? Or by a surgeon who is a general plastic surgeon and your body is the first time they’ll be reconstructing genitals? I read an article (that I can no longer find because search results are now awash in conservative propaganda) pointing out that medical doctors have never really studied female sexual anatomy. Until surgeons started learning how to do bottom surgery on transgender people, the clitoris and other parts of a woman’s genitals were largely ignored. Thanks to transgender men and women, medical science is learning a lot. These specialties and studies will benefit cisgender people as well.

Conclusion

Transgender people benefit society in so many ways. On an individual level, there’s a human being who is living a happy life the way they choose to live. On a societal level, we can listen and learn from people who have lived as both genders and understand each other better. Medically and scientifically, doctors and scientists have learned and can continue to learn so much from transgender people — how hormones affect us, when chromosomes have more influence, studies of the reproductive systems. The knowledge they gain from transgender people will benefit countless cisgender people as well.

Questions:

  1. If you and your significant other switched places for a week, what might happen? What do you want your SO to understand from your point of view? What might you learn about your SO?
  2. Do you enjoy or dislike being a man or a woman? Which aspects particularly?
  3. Do you agree or disagree that medical science can learn a lot from transgender people?

[fn: some of the ideas in this post came from this tumblr post]