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Surgeons, while most are amazingly trained and talented, don't maintain long term relationships with patients (I know there are a few who do). Generally, again GENERALLY, they perform the surgery that some other doctor has requested, like take out this appendix, cancer, etc. Of course they need to all speak in defense of their actions, otherwise how would they sleep at night? I believe that most do truly believe they are doing the 'right' thing. Their liability insurance is supported by the general practice du jour. Informed consent means I need to let the patient know EVERYTHING they need to know to consent to the procedure. Knowing, hearing and signing are often far afield from understanding.

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Agreed. And as far as consent, many detrans folks have stated that at no point did anyone (physician, psychologist, surgeon-anyone) express that there may be other ways to move forward that would help their distress

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True for sure. Also many of these 'kids' (mine is an 'adult') are being informed by very poor resources and encouraged to go forward by other 'kids', and sometimes even professionals ( see Marcie Bowers), who need validation for their own choices. People with high investment in the ideology ought not be allowed to encourage others to go on their path. There need to be checks and double checks. For example, it's well know that therapists who have been divorced are more likely to encourage clients in this direction, even though good therapy never includes advice.

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Salient points! Yes, for such extreme interventions there should have been many checks and safeguards. Having been personally let down my physicians and specialists many times in my life…I inherently distrust medicine in this country and believe medical practitioners are given too much respect and power as to almost be beyond reproach, and that inevitably leads to harm that affects the patients…while the practitioners go on making hubristic mistakes with no one to humble them

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well said!

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