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Perhaps we'll have to resort to using hyphenated pronouns in which the first part recognizes self identification (in deference to the individual) and the second part recognizes genetic makeup to prevent deceptions. We could have him-her, her-him, his-hers, hers-his, he-she, she-he and those with physical traits of both sexes (by birth; or, medical intervention) could optionally use him&her, her&him, his&hers, hers&his, he&she, and she&he.
Of course, everyone would reserve the right to refer to someone they simply didn't like as she-he-it (pronounced "shit").
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