operations and medications can only ever be coping mechanisms. Believe it or not, there are people for whom these things do actually work but again they are rare. expectations need to be set with the patient and they need to have total informed consent, something that is severely lacking right now. these treatments should also not be the goal, but the last resort hence the extensive interviewing and therapy.

Most people in the west right now who believe they are the wrong """gender""" believe it because they are surrounded by an environment that normalizes gender dysphoria, and even celebrates it. these individuals can be brought out of their delusion through therapy, as well as being taken out of the negative reinforcement environment. Buy and large we aren't doing that, which is why we see so many people who don't need these treatments taking them and ruining their lives. that's what needs to be fixed.