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Perhaps, especially for some patients. Although I do get the impression that there are some who are well aware of the limitations of medical gender transition. However, I know for sure (because I have met and treated them) that there are people who have highly unrealistic expectations for the procedures you mentioned as well. They may not be best described as "woo" and "mush" but, for example, many people think they will magically become more athletic and thus thinner and have an all-around healthier life with the joint replacement alone. Some people certainly do become healthier after joint replacement but it takes painful rehab followed by all the training anyone else would need-the new joint is just the beginning and is actually a hindrance at first until one recovers from the surgery.

Someone, especially a young person, who has sadly had their social life curtailed by organ failure may picture themselves as having loads of friends once they get their new organ. And young people struggle to really comprehend the expected and possible complications of any procedure including a serious surgery like that. And of course, once they recover sufficiently to be more social (if that even happens) they will still have limitations and may find that just because they are physically healthy enough to have friends sadly doesn't mean they will fit in, especially if they've spent many of their younger years in hospitals and therefore their social development may not be at the same level as their peers.

That's not to say at all that people don't have full lives all the time after these procedures. It's simply a note that unrealistic expectations are rampant in medicine.

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