Some states have different rules and procedures for changing a person’s name and gender on legal documents. In Beastars, a hybrid child of two completely different species mature in a way similar to this, often an animal that looked more like one of their parents than the other will begin developing features of the other parent's species when they reach adulthood. Given the heavy social stigma that treats hybrids like freaks, the thought of physically hybridizing further is often treated like Body Horror for these characters. https://wexnermedical.osu.edu/gender-affirming-care/surgery-options/facial-surgeries/tracheal-shave FCSA (Federal Competitiveness and Statistics Centre UAE). (2020). Retrieved September 3, 2020, from https://fcsa.gov.ae

The "artifact transformations" — some artifacts gradually transform their users into "the proper owner" image — physically, mentally or both. Universities Australia. (UA) (2015). Selected Inter Institutional Statistics 2015. Retrieved November 3, 2020, from https://www.universitiesaustralia.edu.au/wp-content/uploads/2019/08/2014-UA-Selected-Inter-Institutional-Gender-Equity-Statistics-PDF.pdf National Centre for Education Statistics (US). (2018). Retrieved December 6, 2020, from https://nces.ed.gov/programs/digest/d19/tables/dt19_315.20.aspHEPI. (2018). Women Count Report. Retrieved December 10, 2020, from https://womencountblog.files.wordpress.com/2018/11/womencount-report-2018_web-version_new-final.pdf I live in a town with a large queer and trans population and I don’t have to think about my gender most of the time other than having to come out as trans. But I’m poor and that colors everything. It’s not a chosen part of my identity but that part of my identity is a lot more influential than my gender.”

O’Connor, P., Carvalho, T., Vabo, A., & Cardoso, S. (2015). Gender in Higher Education: A Critical Review. In J. Huisman et al. (Eds.), The Palgrave International Handbook of Higher Education, Policy and Governance (pp. 569–583). Palgrave Macmillan. Martin, P. Y. (2006). Practicing Gender at Work: Further Thoughts on Reflexivity. Gender, Work and Organization, 13(3), 254–275. The cost of gender affirming procedures can vary depending on whether a person has health insurance, and whether their health insurance covers these procedures.Heijstra, T. M., Einarsdóttir, P., Pétursdóttir, G. M., & Steinþórsdóttir, F. S. (2017). Testing the Concept of Academic Housework in a European Setting: Part of Academic Career-Making or Gendered Barrier to the Top? European Educational Research Journal, 16(2–3), 200–214. O’Connor, P., & O’Hagan, C. (2016). Excellence in University Academic Staff Evaluation: A Problematic Reality? Studies in Higher Education, 41(11), 1943–1957.