[fzeroracer]

The study deals with this though. The people that have BIID do go through psychological treatment, seek therapy, medication etc which don't seem to blunt the issue.

But ultimately the end result seems to be that they will eventually, one way or another, find a way to get the surgery they desire. I don't know what your solution would be in that scenario other than to criminalize it and even then, there's reports of people doing home made amputations by sitting on rail tracks or whatever else you can think of.