The fringes of the medical 'profession' have a lot to answer for in enabling these sick individuals to engage in self-mutilation rather than coming to terms with themselves.
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Agreed. Imho, it shows an incredible lack of understanding and compassion.
I knew a transsexual; he's dead now. He was a very disturbed person, and cutting off his genitals did NOT fix his problems. It just added more problems to the ones he already had. It's sort of like (though far more severe than) those foolish women who believe that plastic surgery is going to suddenly make them 'all better'.