Do you think sex and gender are the same thing?
In particular, the 2026 senses are that sex is an immutable biological characteristic based on karyotype and gametes; gender is a social construct, and this is why it can be "transitioned."
The cited article nonetheless uses the archaic terminology "transsexual" to refer to what we today know as "transgender."
Now you see the linguistic ambiguity we are mired in? Can you clarify?