>>512802139It varies from person to person. Some are quite literally born with a deformity of their brain structures, which leaves them feeling wrong but unable to pinpoint what (and they're often funnelled into the assumption that it's because they're the wrong gender... and then they get surgery and made into a monstrosity, it doesn't fix the sensation they have because the brain hasn't been corrected, and they kill themselves out of despair).
There are those who develop similar symptoms due to external or chemical issues, but these usually have other mental disorders as well that exacerbate the situation, and they also get caught in the grinding machine that is "trans" (which are those you're referring to).
Then there are those who are doing it because they want to be trendy, or to promote an agenda, or for sexual gratification. I don't lump them in with the other two because I see their involvement is more predatory and malicious than the true sufferers who are exploited.
It's a difficult situation to handle because distinguishing the victims from the perpetrators is difficult at first, but the redflags become more obvious the longer an individual on the pro-trans side speaks on it.