[lmkg]

Key phrase:

  > for no good reason

For some individuals, there is substantial therapeutic benefit to reassignment surgery.

[north_east_dev]

> If you choose to have your hand cut off because you think it would be awesome,

Does that cut mustard? Why not?

[da_chicken]

That's begging the question. The point is, "Who decides what a good reason for this is?"

After all, it seems self-evident that nobody would seriously ask for these things if they themselves didn't believe they had a good reason, yes?