Page:Adams ex rel. Kasper v. School Board of St. Johns County, Florida (2018).pdf/6

 Ct. Ex. 3 at ¶ 20. Among these markers, external genitalia, the most physically obvious one, has historically been used to determine gender for purposes of recording a birth as male or female. at ¶ 19. In most people, all the markers, including external genitalia, lead to a singular conclusion that an individual is either a male or a female. Doc. 166, Ct. Ex. 3 at ¶ 19. Sometimes, though, they are not congruent, with some indicators suggesting the individual is female, and others male. at ¶ 20. In this situation, neurological sex and related gender identity are the most important and determinative factors.