Where the original gotchya is that the Surgeon can be the son's mother or other adoptive parent.
The modification catches the LLM because with the modification, the surgeon could just be the cousin's parent -- father or mother -- so there is no gender/sex at play here but the LLM continues to remark that there is, therefor exposing its statistical training sets.
A father and his son are in a car accident. The father dies at the scene and the son is rushed to the hospital. At the hospital the surgeon looks at the boy and says "I can't operate on this boy, he is my son." How can this be?
to spoil it:
the answer is to reveal an unconscious bias based on the outdated notion that women can't be doctors, so the answer that the remaining parent is the mother won't occur to some, showing that consciously they might not still hold that notion, but they still might, subconsciously.
Still confused how original can be confusing.