So why not go through therapy to make you happy with what you were born with? So even though they turned into what they want to be, they still suffer depression and self-doubt, so again, that means there is still something wrong in the brain.
So going to your Joe reference, they need more mental therapy not a surgery that they might not like.
Again I believe people with both genitals are the only group that should be doing anything to their genitalia.
Please read through all of my messages again, and you will see why they now treat the body over the mind. It was an utter failure when they tried to treat the mind, using such tactics as Electric shock therapy, and even lobotomizing people. This was the same for both Trans individuals, and homosexuals. It caused vastly more problems than it solved. As it stands in the UK and the USA, gender dysphoria has been declassified as a mental illness. And for good reason, as we are not mentally ill.
The process via the NHS here in the uk goes like this.
See ones family GP (family doctor), who then refers you to a gender clinic. The doctors in the gender clinic are psychologists who are specialists in gender. While there they run a series of blood tests to rule out any hormonal imbalances, these results are sent to an endocrinologist. There are a set amount of appointments needed with 2 separate doctors before any medical intervention is taken (hormones and surgery) also. They both have to agree, or access to the treatments can not be obtained. This can be anywhere from 2 appointments, to 10+, all depends on the patient. I personally only needed 2 to access the medical options. A minimum of a year on hormonal treatment is required before any surgery is undertaken on the NHS. This is to allow the person to adjust to the hormonal treatment, and to see if they will be ok with a complete hormonal reversal. When surgery comes into play, the person has to come of said hormones a month before (heightened risk of blood clots and complications during surgery). This is how involved it is here in the uk, and there are a lot of stops and checks in place to make sure the person is mentally stable. Not to mention an insane amount of aftercare provided once everything is done.
As it stands, I have been on the NHS access route for 4 years so far. I am happy and content to stay on this route, as it allows me to digest everything that is going on; and to do the appropriate research. It gives myself, my family, and my friends a chance to adjust.
Now the issues come in here. Some people are unwilling to go through the NHS drawn out procedure for these things, and will often go private. This allows them to steamroll through transition, hormonal treatments and surgery at a very rapid pace. This can have very bad adverse effects, as people are often very unprepared for what it all entails. They often do not feel any better after all is said and done, and are more likely to suffer from depression and have suicidal thoughts, even though they have gotten what they want. With regards to the surgery, some people feel it is the be all and end all of the process. It is far from it in fact. There are also less protections in place by going private, and there is no real access to after care by the doctors who have been involved. As these doctors are often in other country's, such as Thailand and Brazil. Two of the best places in the world for gender related surgery's.
The other thing that can cause issues however, is peoples attitudes towards us. It is fair enough if you do not agree with it, that is fine. But we are not living your life at the end of the day, we are living our own. What we do to live a happy and productive life, is just what we have to do to live a happy and productive life. It does not affect you, it has nothing at all to do with you. So if you do not like it then don't be a tit, don't say anything if you can not say something nice, and just leave us be. We are not hurting you, or anyone else for that matter. It also doesn't matter if we have had surgery or not, as those are private details. You would not like it if someone come up to you, and then asked you very personal questions. Imagine how you would feel if someone come up to you and used pronouns regarding the opposite gender constantly? Or used the wrong name when addressing or talking about you, I bet you wouldn't like that. Now imagine that going on every single day, add in some random name calling. Perhaps even some physical abuse. That goes on constantly, every single day, and it never lets up. That is what happens to us, and that is what we have to live with.
As I have said to you before, and to the others who do not agree with it. Just have some common decency, and treat us how you yourselves would like to be treated.