Do the math....it’s not rocket science.
Joe goes and gets plastic surgery. Joe gets hormone treatments. Joe buys some dresses. Joe goes to Doctor Bob for three years of therapy (once a week)....to get a dose of “you need to pretend you are a woman”. Joe dates some guy who wants a man-gal, but later discovers its only some fad act for the guy and he doesn’t really want a permanent relationship. Joe keeps wondering why he doesn’t feel like a natural woman.
In the US today, I’d take a guess that 500 people would like to transform themselves into Klingons (Star Trek) and they’d do the same treatment as Joe. Is it a mental disorder? Yeah.
I think all we are doing is creating some wave of individual that will come in two or three years crashing down, and be suicidal because they just didn’t get to the change they dreamed of.
The way society is going, pretty soon Klingon-wannabes will be demanding they be accepted as they prefer reality to be.