People with gender confusion, like Perry, have a treatable mental disorder. Humoring them to the extent of sexual reassignment surgery is questionable advice, maybe motived by greed.
The only "winners" are the medical teams who prescribe drugs and perform useless sexual reassignment surgery. Perry is a man who will never be a woman.
He needs psychiatric help and medication to gain control over his temporary mental disorder.
That’s why half try and kill themselves.