Religion aside, I firmly believe that those who argue that homosexuality is a choice do so in order to justify senseless beatings of gays and lesbians, and continued discrimination and mistreatment against them. I also believe without a doubt that it is a choice to be a nasty human being.
When the Islamic Republic first took control of Iran from the Shah, the new regime decided population growth would be greatly in its advantage. After all, it was faced with a bloody war with neighboring Iraq.
I was in Vegas for the first time about a decade ago, to attend (by kind invitation) the opening of a sexhibition -- sorry, exhibition -- of Impressionist paintings from the Hermitage Museum in St. Petersburg at the Venetian Resort/Hotel/Casino.
Most if not all the other names used for the procedure suggest that a person is making a choice to switch genders. This is not about choice; it's about using surgery as one of the therapeutic tools to enable people to be comfortable with their gendered self.
Will Chaz Bono's gig on Dancing with the Stars offend some people? Most definitely. What's more important is the courage that Chaz lends and will continue to lend to others who haven't yet gained the courage to be themselves.