So, folks are assuming transgender is fixed with a sex swap. That's not always the case.
The problem with all the magic that does a sex swap is that these items/spells/whatever change a character's biological sex from male to female or vice versa. They do nothing for how that person thinks or feels or anything beyond the physical body parts, and I guess the DNA too? We have to remember that the original items existed before it became understood that sex and gender are different things and while there may be more modern versions of the items that do more, I am not familiar with them.