[ImJustAnotherOkie]

Bottom line these people need counseling, not reassignment surgery.

They have been counseled and this is the result.

[Robert DeLong]

No, what they have been receiving is not counseling but cajoling into believing they need gender reassignment surgery. That they will never grow out of the dysphoria. That surgery is the only route to happiness.

In other words, they are being lied to.