I’d have to go dig out the research again (as you pointed out, it’s actually kind of hard to classify these people), as I haven’t looked at it since the DSM V discussions some years back, but, on quick recall, the operations do address the “gender confusion” issue. However, I believe their suicide rate stays the same (I believe it was around 35%, which is about the highest of any population sub-group) and doesn’t address any other “issues” that they have.
The net result is we physically mutilate the suicidal, destroy their endocrine systems [and the rest of the body] and call this “good”. It’s really just one of the modern forms of cruelty. Which is something our societies are very good at doing.
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