Surgical referral letters are one of the few safeguards that stand between those suffering from gender dysphoria and life-altering operations that seek to change their sex, but ideologically-motivated therapists have set out to make these letters as easily available as possible, viewing their work as a form of political activism rather than a serious medical precaution.
Many surgical clinics require that those who wish to undergo double mastectomies, hysterectomies, phalloplasties, or other operations aimed at change one’s sex must first receive a letter documenting their mental health. Ideologically-motivated pro-transgender activists, however, have dropped all pretenses that these letters are genuine attempts to discern the mental state of potential patients.
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