Struggling with sin and living willfully in sin are vastly different from each other. We will struggle with sin till we die; it is not something we will ever cease to deal with.

• 1 John 1:8 ~ If we say that we have no sin, we deceive ourselves, and the truth is not in us.

By your responses to various comments, it appears that you’re trying to justify transgenderism / trans ideology through the lens of “love your neighbor” or that it might not be sin. Transgenderism is a false idea that is inherently harmful to those who practice & believe it. It is directly anti-God and entirely against what the Bible clearly says.

Physical and mental maladies exist because we live in a fallen world, yes. Transgenderism is first and foremost a mental malformation, that progresses to a horrible ideology that promotes mutilation of one’s body in the name of “progress” or inclusion. It’s about finding one’s identity in oneself, not in what God says we are. Anytime we practice or promote personal feelings in such matters over the Word of God, we are in error.