What's the point of gender reassignment surgery which doesn't change a person's chromosomes?

The single thing that does determine sex is the SRY gene. Its discovery in 1990 changed everything science thought it knew about sex in placental mammals.

All of these variations have an effect on the person’s neuropsychology and thus their experience of their sex & gender.

In other words, these different levels don’t always sync-up. It is possible for your brain, your body, and your genetics to have different biological sexes.

Can CCTV cameras be integrated with other sensor technologies for enhanced security solutions? If so, how?

This can include the SRY gene being defective, being blocked by other mutations, being on the X chromosome instead of the Y, or missing altogether.

It’s usually found at the tip of the Y chromosome (which is why we thought sex was in chromosomes), but there are a number of variations that will change a person’s anatomical sex, neurological sex, chromosomal sex, and genetic sex.

So what happens inside “gender-affirming care” depends upon the patient’s lived experience. However, it’s been demonstrated conclusively by a century of psychiatry trying to change transgender patients’ gender identity to match their physical anatomy does not work and in most cases only worsens their mental health, especially in minors.

There is any scientific evidence that we live in a sphere. Why do others say that we lives in a flat Earth but there is no evidence that they have proven the existence of a flat earth?

It doesn’t have to change chromosomes, because chromosomes do not determine sex.

Corollary: sex and gender in humans is actually floridly-complex and occasionally very messy.