Yes. But the critical point is that the phenomenon of sex change during a life is extremely rare.
- Only a couple of cases are mentioned in the Tipitaka, and those are due to extreme acts of immoral deeds.
- For example, one case is a wealthy person who saw an Arahant bathing; that male Arahant had an extremely appealing body. The rich person generated sexual feelings about the Arahant and was instantly transformed into a woman.
- The problem today is that children are taught that they can become a male or a female if they feel so. This has led to attempts at “forced sex changes” (not only with drugs but also surgeries), leading to many physical and psychological issues. A dangerous situation!
- One is born a male or female according to the gati one has cultivated in previous lives. We should not interfere with such natural processes with drugs or surgeries. However, in “borderline cases” (some may have overlapping “male gati” and “female gati“), we must be compassionate to accommodate them with necessary medical care (probably hormone therapy). But it is a small fraction. See the post “Sexual Orientation – Effects of Kamma and Gati (Saṅkhāra).”
- By the way, some are born without any sex organs (extremely rare). Those are kamma vipāka.
- I know that this is a politically charged issue. So, I would rather not discuss it further. It could be a distraction. Each person can make their conclusions. I am only pointing out conclusions based on my understanding of Buddha’s teachings.