[Drew68]

Not to be cold or accepting of this, but the surgery happened when she was 30 years old. It was her choice to mutilate her body.

I'm a grown adult. If I wanted my perfectly healthy left arm hacked off because I identified as an amputee, no doctor in the country would comply. They'd be violating their Hippocratic Oath of "Do no harm."

This should be treated no differently.

[CatOwner]

You’re asking for an “all or nothing” solution. Ideal as that might be, that just muddies the conversation. Save the children first, then deal with adults who in many cases have mental issues.