Like the Chess rule: Queen takes her color, Siamese twins are
always Identical twins- and these always take the same gender.
One could not have a Boy and Girl Siamese twins. some for many
years were either Brothers (Chang and Eng) or Sisters such as the
Hilton sisters, the Gibb ( or Gibbs) sisters, etc. for obvious
show-business reasons the distaff twins are preferable to the
carnivals, etc. the Hilton Sisters were a stellar example.
So the problem of toilet use does not occur- they are two girls,
or two boys so go to either the Men's or women's rooms as the
gender requires.