Well, I need a lot of things medically, but I don't think a hole in my tooth keeps me from being a woman.
The dental assistant was talking to me about name change and I explained it briefly
"...I mean, do you keep the same social when you change everything?"
"Yeah, you can't dodge debt with it."
"Psssh, if you could, I'd do it too!" [name change, I think; not sex change.]
"If I were trying to dodge debt, I'm doing it wrong, this has cost me over $17,000 so far."