As Nature Made him

Paper instructions:
Its a paper for College level course, 3-5 paper, must address book As Nature made Him, and must answer 3 of 4 questions
Using the Bruce/Brenda/David story, please choose and answer 3 of the following 4 questions.

How does this story impact your/our understanding of gender identity development?
What ethical issues are raised?
Why might this case be highly politicized?
How does this case influence our thoughts on gender and societal norms?