Miracles were reported to take place at the tomb. Then people learned that Smaragdus was also Euphrosyne. Did the church then revile this miracle-worker? No. They canonized this gender-transitioning person as St. Euphrosyne, framing them as a woman who had lived as a man in order to preserve "her" celibacy and in service to God.
The Greek Orthodox prayer to St. Euphrosyne is, "The image of God was faithfully preserved in you, O Mother. For you took up the Cross and followed Christ. By Your actions you taught us to look beyond the flesh for it passes, rather to be concerned about the soul which is immortal. Wherefore, O Holy Euphrosyne, your soul rejoices with the angels."
This is not a modern story of medicalized gender transition. And how Smaragdus/Euphrosyne understood themself, we cannot know. But what we can say is that the contemporary claim that Christianity requires people to live in the sex they were assigned at birth contradicts Christian history. And not just church history, but the contemporary practice under which people pray to St. Euphrosyne today. It is the interior soul that matters, not the flesh, says the prayer--and changing lived genders is one way to reveal that.
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