And, to provide an answer:
From a critic:
[Director Sally] Potter argued that the more pragmatic medium of cinema called for reasons to drive the narrative, over the novel's abstraction and arbitrariness, especially as the story itself is based on a kind of suspension of disbelief. Thus, it is Queen Elizabeth who bestows the long life upon Orlando. The change of sex is a result of Orlando reaching a crisis of masculine identity when he is unwilling to conform to what is expected of him as a man. Nor as a woman can Orlando conform."
From the filmmaker, Sally Potter:
"Each person’s emancipation is through themselves, and the story of Orlando is of someone who is both a man and woman, and it’s the story of the liberation of man from the constraints of masculinity, as much as it’s the story of the liberation of a woman from the restraints of femininity, and what it says is that both of those identities are a trap and a prison, and inside the prison is a human being, and that both men and women share that common human essence with each other even more closely than they have differences."
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