>>2953071
>t's a process that naturally weeds out anybody who isn't genuinely committed
...this depends on the country, state, and hospital. In Canada I think psychiatrist actually have to affirm gender delusion, which is ridiculous, I speak as someone with OCD delusion -- the therapist should acknowledge that we feel this way but affirming delusion is no good (and you can accommodate without affirming, but that's not what happening with trans body dysmphic disorders.
If you are the anon who said you aren't trans -- okay, if you woke up tomorrow and your body was the opposite sex, will you have surgery, with all its risks, just so your body would look more like your original sex that you identify with again, or would you just leave it? I'm a woman and I identify as a woman, it would mess with my mind if I woke up as a man, but if the body is healthy I wouldn't risk surgery, same if I woke up a different race. I think with trans, the one who seek surgery, it's not as simple as "body not matching sex", it's abnormal DISTRESS as their body not looking the way they feel they should. So other than weeding out if they are even trans in the first place, therapy other than agreeing with everything they say and giving them all the surgeries, it's to see if they can manage to feel less distress with the less drastic things first.
I do believe in giving trans people 'gender affirmative care' if there is no other less-harmful way to ease their daily distress, I believe in publicly funding that care, it's just care means that you aim for best outcome, and since surgery has side effect, therapy first -- not just to figure out if they are trans, but also, how much surgery they need to ease distress, and they need to be realistic about outcome too -- trans people are at highest risk of suicide AFTER surgery -- because they thought surgery would fix them but it didn't.