Russian Parliament outlaws gender change "to protect citizens"
(english.pravda.ru)
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Gender dysphoria should not be treated with genital mutilation. It should be treated as the mental illness that it is.
It is a mental illness for which sex change is one extreme treatment for. It should only ever be used as a last resort after the patient has gone through extensive therapy and evaluation, something we are not currently doing.
Which would be fine, if sex changes were possible. They are not. You can take hormones. That is it. It will not change your gender. You can not undo your skeleton. You can not create a functional set of genitals. What these doctors are shilling is an assortment of empty promises. The sooner people come to terms with this the sooner real treatment can be researched and approached. What we are currently doing is about as realistic as when we were accusing women of witchcraft. It's lunacy. There was a time where lobotomies were also considered a last resort and that worked out soo well.
at this point it's just an argument of semantics. I say sex change because that's how they commonly refer to it, but you're right it's not an actual sex change.
I commend you for trying to play devil's advocate. You are more merciful than most here, but it's not worth it. It's not a hill you should ever consider dying on. You really shouldn't allow yourself to use the definitions made by the delusional. 2 + 2 does not in fact equal 5 just because a specific collective insists otherwise. Allowing yourself to even humor such an idea is how people slide into the poisoned mental gymnastics.