It seems purely ideological and enforces itself on the medical community via compelled speech, the threat of fines, or loss of license. The studies in WPATH have no control groups, small sample sizes, selection bias, and limited follow up according to one expert.
The WPATH guidelines states that gender is assigned at birth and does not acknowledge the objectivity of gender or sex while also claiming that physicians who approve the procedure must assume all ethical and legal responsibility for the patient from start to finish.
One recent study shows an average 41% suicide attempt rate for trans people. The suicide rate increases if they have had SRS counseling, increases more of they’ve considered hormones or surgery, and more if they have actually
Received hormones or surgery.
The life time suicide attempt rate is 37% even if you can’t tell they are transgender.
The overall suicide rate is 20 times more then the average poplupation. Higher then the suicide rate of incarcerated Jews in the Nazi death camps. I believe the surgical and hormonal transformation causes trans people to self isolate and avoid most of the people that formerly knew and loved them.
One STD prevention Lecturer on YouTube states that 40% are HIV + and 25%-75% work as prostitutes in the west while in Asia over 80% work as prostitutes.
There are attacks from a few people within the trans community against researchers that publish research that does not support the feminin essence theory of transgenderism. Take for example the response to Michael Bailey who wrote “The man that would be Queen.” A well researched commentary on the backlash was written by an expert.
Patients with gender dysphoria need compassion, but they also need to be presented with research that demonstrates the dangerousness of this lifestyle choice. I do not think that would stop many from going forward, but I likewise do not see how this cosmetic alteration could possibly be deemed a right? Why should the tax payer pay the tens of thousands of dollars for transitioning of incarcerated criminals claiming to be of the wrong gender? Many of these criminals have committed violent crimes.
The cost to families is also significant.
In my opinion any doctor who approves this procedure can be sued successfully by surviving family members due to the overwhelming evidence that SRS contributes to suicidality. The idea that subjective feelings trumps objective reality goes against every principle of psychiatry.
I totally support the idea that people have free will to pursue a definition of happiness that fits their world view, but to force others to embrace it or approve it when it is not founded in science or good medicine, and may even contribute to bad outcomes, shows a lack of intellectual honesty.
If someone wishes to go forward and surgically alter themselves cosmetically they should assume all financial, ethical, and legal ramifications for this elective alteration.