>>10959194What I mean is a good surgeon doesn't perform unnecessary surgeries. Cutting mentally ill people's genitals off to fuel their delusion makes you a bad surgeon by default no matter your skill level. A doctor who prescribes a young man a huge course of steroids because he feels like Ronnie Coleman on the inside is a bad doctor.
You can list all the things you want. Right before you go to sleep at night, you will always have a nagging feeling that deep down you know you aren't a woman, and that the only people that will sleep with you are fulfilling a fetish and nothing more.