@Fieldofgreycorn
I don’t think it’s as simple as ‘born in the wrong body’ but if someone is so unable to function because they have the body of what feels like the wrong sex, then I would say that was a medical condition. Otherwise why would you need medical treatment?
If they feel they have a body of the wrong sex, the logical treatment is not to change the body to create a simulacra of an opposite-sex body, the logical treatment is to change the feeling.
That's the treatment we apply for every other body dysmorphia disorder.
Of course, all patients with body dysmorphia disorders can forego psychiatric care and opt for surgery instead. But not on the NHS.
Why should this particular body dysmorphia disorder be different? Because it is backed up by a belief system that posits we have disembodied, but sexed metaphysical entities that can inhabit opposite-sex bodies?
No? Then why?
Suffering? I have a family member who suffered greatly from a cosmetic issue and still couldn't get her problem fixed on the NHS. She paid to go private and it all went terribly wrong. It took years to fix the damage caused by surgery, which cost a lot of money. Should the NHS pay to fix damage from private surgeries?