Tis 2022 photo shows a self-portrait of Maxwell Kuzma, a transgender man working as a film editor and writer living outside of Columbus in rural Ohio. Kuzma expressed dismay at a Vatican document issued Monday, April 8, 2024, that rejected the idea that one’s biological sex can change. (Maxwell Kuzma via AP)
FILE - Christine Zuba poses for a portrait at her home in Blackwood, New Jersey, on Monday, Feb. 14, 2022. After coming out as a transgender woman at age 58, Zuba, expressed dismay at a Vatican document issued Monday, April 8, 2024, that rejected the idea that one’s biological sex can change. (AP Photo/Jessie Wardarski, File)