amputee identity disorder is a condition where somebody strongly believes they were born with too many limbs, and identifies as an amputee. these people require intense psychiatric care to rehabilitate them because, for reasons that i hope are obvious, amputating perfectly good limbs and crippling that person for life is not in their best interests. in this case, its up to the medical professionals to make this call and keep the mental patient from hurting himself.
the same can be said of transgenders. wanting to completely mutilate your body and then being told that "yes you can be a real woman" and "transwomen ARE real women" is a crock of stuff and a product of a degenerate culture. in this instance, medical professionals are being ignored or censored so that the treatment for this particular mental disorder is to actually carry out the physical damage that people with this disorder are at risk of. マホー
this is the biggest problem that I have with transgender treatments - so many people treat them as if the person wants to mulitate and hurt themselves - which isn't true.
the reason why transgender people go through reassignment surgery and take hormones is
because that's the easiest surgery for them. you can either spend years trying to tell them that they're not who they think they are, and that they should just suck it up and ignore it, that they're crazy etc etc, but the reality of the situation is that it's the easiest treatment to the psychological phenomenon that they experience - if it were easier to convince somebody with psychological treatment quickly and easily that they aren't the gender that they think they are, we would likely use that method of treatment.
people frequently ask why when people claim that they are animals or claim that they have too many limbs etc, why don't we treat people for that? simple - any kind of formation into an animal or cutting off limbs is destructive or downright impossible - you can't do that to a human, simple as that. however, for gender transitions, psychology has spent years trying to find the best option to solve the issue, and they've decided that making somebody transition to another gender is easier to do than spending years trying to convince them otherwise.
it's a problem where people aren't willing to see past: "it's unnatural," and when people are told that it's the best treatment, they bring up other exceptions thinking that transitioning is just a crazy idea perpetuated by the media. if it was a fad, it's likely that psychologists wouldn't propogate it and confirm it as a viable option for the gender dysphoric patient at hand.
if there ends up being an easier way to convince people that they aren't the gender that they think they are in the future, as opposed to transitioning, we'll likely go that route for simplicity's sake. it's a matter of what way science goes, and that's up to the scholars themselves, not left right politics.