I do agree but will assist those that wish. I am not a surgeon but often dress out animals I have killed for food. Hell it would be a just a slash there to open a suitable orifice, remove a bit of the upper colon and reattach it to the lower colon. Take the colon segment removed and place it in the orifice made that we now call the vagina. Then comes the difficult part, reconnecting the blood supply to the new vagina to the small vesicles of the wound. It will probably fail and you will die.
The above is satire to show the insanity of it all. These dudes that want surgery to become women are insane. Post surgery they are simply medically mutilated men. Doctors that do this surgerys perhaps may be insane but they are definitionaly evil. The same can be said for surgeons that do the same to females.
The surgeons dont force it on anyone. Many actually try to dissuade people from getting it, especialy if they are not an adult and not still growing. It is common for people to keep doctor shopping, rejecting advice, until they finally find one who will agree.