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That would not be wrong were it all she said, but saying that's all she said would be a malicious oversimplification. Can someone please correct me if I'm wrong. So these people have a perception that their gender is misaligned with their sex. But is that thought not irrational? Why is the treatment to give into the thought - through sex change - rather than therapy? Similarly someone with body dysmorphic disorder or anorexia will have perceptions that their body looks wrong but the treatment isn't liposuction or surgery to get what the person wants, because that thought is rightly identified as irrational. Therefore they get therapy for what is clearly a mental issue.
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