See: https://journals.tdl.org/jrwg/index.php/jrwg/article/view/97
https://www.dailydot.com/irl/trans-broken-arm-syndrome-healt...
https://www.pinknews.co.uk/2015/07/09/feature-the-dangers-of...
https://www.reuters.com/article/us-britain-lgbt-health/briti...
Sure this is a minority, but it still harms people.