Earlier quoted context omitted.
The RCTs that validate your assertion (or mine) when comparing reparative therapy and affirmation do not exist. All that we have to rely on now is the overwhelming consensus among medical and mental health professionals, and that consensus appears to exist among major reputable bodies worldwide, and is based on their many decades of collective clinical experience and research. If medical bodies are changing guideline…
I am well aware of the current concerns around the incentives that exist in the medical industry when it comes to the treatment of gender dysphoric people. Some of it we should absolutely be concerned about, particularly when it comes to treatment of children. Where the current public discourse on these issues goes off the rails is that we conclude that, because these concerns around improper incentives and improper…
It's not this simple. For one, lots of people are all kinds of confused. There are people who think they are dysphoric, transition, then realize they totally messed up. There are people who say, "I went through a period when I was a kid where I was a tom-boy or told my parents I was the other sex -- thank goodness this kind of ideology wasn't around then because I could have been trannsed. I'm perfectly happy in my biological sex right now." If you read a lot of stories they aren't necessarily "dysphoric" they just think it will benefit them someway to transition, in the same way a weightlifter who goes on steroids is not "dysphoric" about his body, he just might think he is happier to be muscled up.
And we also have people who later admit that they lied about the nature gender identity in order to get sex change drugs and trans people who admit there is substantial political pressure to make their personal testimonials about gender identity conform to a certain script: https://nymag.com/intelligencer/article/trans-rights-biologi... https://www.nplusonemag.com/issue-30/essays/on-liking-women/
Because we do not actually have the technology to turn a man into a female (or vice versa), I think the most honest and best course is to tell that person, "Sorry, you are not a woman, and the surgery you are asking for will not actually get you want you want. Cross-dressing and wearing lipstick does not make you a woman. But if you learn to accept who you are, you can live a happy life." To be convinced that this common sense approach is not the best approach, I would need very strong evidence -- at minimum multiple randomized controlled trials by honest researchers.