[sfem]

George Carlin was awesome. He was doing comedy in that routine. Why did you post the link without saying what it was a link to? Are you suggesting gender-related surgery is some kind of joke? Carlin had fun with the language topics, but if you listen to recordings of him while trying to assign meaning to any of his material, you have to stop laughing and become critical. FYI, if you are a Carlin fan like I am, don't do this. It will ruin some of his funniest bits for you. He mixed a wide variety of things in order to come up with the volume of material he went through, much like Benny Hill did. Adjacent changes in wording in that routine are not all of the same nature. His delivery makes them all sound funny. But quite often, changing how we describe things is not only intelligent, but necessary to allow us to advance our knowledge and change our perspectives on things we take for granted. If you dig into how much things like gender are deeply baked into many languages, you will be amazed at how very often gender cues are used.
My wife and I sometimes play at a game where we look for those things in conversations that happen around us. It's fairly incredible these things go on so ubiquitously without conscious recognition. Marketers rejoice!
I think there is so much progress and change happening with respect to our situations/conditions/whatever you want to call it, that it is pretty obvious that this is a case of language needing to change and grow in order to adequately communicate the concepts. Despite my not having any interest in gender surgery of any kind for myself, I have to say I greatly prefer the term gender confirmation surgery. It is far more accurate than using the old terms which had negative societal baggage built into them.