[Breefield]

You seriously misunderstand how hard it is to have sex reassignment surgery.

Even in states where beginning an HRT regimen is based on informed consent, there are many steps one must go through before having this procedure done. Multiple letters of recommendation from licensed therapists and having been on hormones for years. Not to mention the exorbitant costs even with insurance.

Your suggestion that one could Uber to another city and have SRS performed is a gross mischaracterization of the reality trans people face.

[jvanderbot]

The article provides examples of clinics offering very few steps to treatment, and discusses doctors who bias in favor of treatment. It paints a picture supporting the conclusion that it would have been easy.

[klyrs]

The gulf between the availability of specialist surgeons and pharmaceuticals is incredibly vast. If the article gave you the impression that you can just walk in and get your SRS did on a whim, perhaps you should reconsider its veracity or at least your understanding of the situation.

[jvanderbot]

I don't have a any understanding of this situation or a horse in this race, was just pointing out that ancestor comment was justified based on the article, which also addressed availability of pharmaceuticals, btw.

It'd be nice to have literature or deeper investigation on this.

[jonhendry18]

"Treatment" involves a number of different options, of varying permanence. It isn't "Okay, surgery scheduled for Tuesday" at every patient's first consulation.

I wouldn't be surprised if for most girls, treatment starts with wearing a binder, which is clothing.

[bjowen]

The article is written from experience in one paediatric centre, when the pratice between different centres - and laws in different states - differ vastly.

Information about people seeking gender affirming care in different places and stages of transition is not refutable based on this article.

And it is anecdata - how many patients had positive outcomes? Article doesn’t tell you. What did the (brand new) centre learn from these cases with negative outcomes? What protocols was it using? Are they the same now? Are they common elsewhere?

[setr]

That’s a large part of the article’s call-out — there’s no real tracking of outcomes, and looking to do so is met hostility.

[2devnull]

That’s reassuring. She did say that the doctor she found was like the only one in California, maybe even the whole country, that would treat people with mental health comorbidity. So even back then it wasn’t a widespread thing, just this one trailblazing doctor in the very lgbtqi2 friendly city of San Francisco. And it sort of makes sense. Why couldn’t someone have both schizophrenia and gender dysphoria? Shouldn’t the mentally ill be able to address other health problems like gender dysphoria? It’s very difficult thinking through the medical ethics involved.