Sometimes you do have to read between the lines. Sadly this is what tans-genders have to face, the complicated choice of going to the bathroom. Society have created bathrooms for women and men... no in between creating a social discrimination against transgenders.
Regardless WHO you are and especially for a woman/or little girl... I think this song speaks beyond the stereotypical image it holds. "God makes NO mistakes" something I tell myself on a regular basis to keep me grounded. Love this song and really starting to like Lady Gaga, I must admit. :)