Do they also need to ask if they have a uterus, fallopian tubes, gonads, both kidneys, an appendix, gall bladder, adenoids, and all their tonsils? A checklist of the entire endocrine system and every visceral organ?

Or can they just ask what sex the patient was born and if they've had any surgeries?

Because for billions of people in the world, "sex" is a quick and easy shorthand that answers most of that information and more, and any additions or exceptions can be listed in a separate field.

And for the rest, the doctors still need to know that information, so it makes no sense to jump through hoops and play twenty questions to make people guess without actually asking what they need to know. HRT, SRS, and any other GAC can be listed in other fields like literally every other person in the world does with their medical history when filling out medical forms.