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That plus "puberty (testosterone or estrogen) will slowly push the slider to one side or the other" gives me the impression that this person thinks that a boy given estrogen before puberty or a girl given testosterone will grow a vagina or penis, respectively, without surgery.

Does he not remember having a penis as a boy?

No penises are assigned after birth, all babies look like barbies below the belly. /s

Thats the exact image I have in my head when I hear "sex assigned at birth".