Should cometic surgery to 'affirm' someones gender be banned?

Agree, but even if a man does mutilate his genitalia to emulate that of a female, he is still 100% male and must never cross female boundaries. Any surgeon who does this mutilation surgery should be struck off. It is inhumane imo to pretend to a man that the surgery will make him into a woman.

If people are willing to pay for their aesthetic changes and fully know and understand the health risks involved, then I think it’s their decision to make. With some potentially complex procedures counselling would be beneficial and a waiting period to avoid rush decisions about having life changing surgery.

I think a lot of cosmetic surgery doesn't meet the basic requirements to be acceptable medical treatment. And therefore doctors shouldn't be allowed to do them.

I don't care if they want to mutilate their bodies but they should not get it done on NHS. They should pay themselves.

mutilating healthy organs because of mental issues is insane in my opinion... amputating other essential body parts is seen as crazy for other reasons, but the moment it's about a transgender identity it's okay... rainbow sparkle brain rot.

We are talking about labia minora reduction surgery. I don't think this has any accepted major ill effects. I am prepared to be corrected if I am wrong.

Edit: the main ill effect is to consume NHS resources I suppose.

No, not if they are self funding

But I would have significant qualms about 'bottom surgery' of both kinds. They seem fraught with complications and I can't see how it's ethical to perform surgeries with such high risk of problems for little actual gain (re health).

Again using the example of an anorexic patient, "insisting" on 'fat reduction' surgery, with or without a psychiatrist's approval, would not be in their best interest, and it seems unlikely surgeons would risk it.

To reply to the opening question, what is the point of surgery to change "gender"? What is gender? It is just a stereotype of masculine or feminine feelings or behaviours? Some say it is a "social construct". Whatever, it is not real like sex: male/man and female/woman.

The Supreme Court confirmed that it made no difference if a man imagines he is feminine, separate spaces for male and female were the law. A man having cosmetic surgery to mimic feminine attributes is still male and must not use female spaces.

I imagine the patients concerned have psychiatric reports insisting that the surgery is essential to their mental wellbeing.

Pedantic is not what I'm being! NHS policy says that this should not happen. If it is happening, as you say it is, then individual surgeons are contravening policy and this should be challenged. It's not helpful for the patients, and it's a very poor use of critically endangered NHS resources.
Ideally someone working in that area would leak it to the press...

I have read about people recovering from a stroke, who wake up with a alien leg or arm lying next to them in their bed. Naturally they are appalled and disgusted, and are even more appalled and disgusted when they try to throw it out of the bed and find - horror! - it is attached to them. They cannot escape it. If these patients never recover their connection with their limb, would it be removed? It is not a fetish. It is the result of brain damage.

Then why for this version of body dysmorphia?

The NHS should never do cross sex surgeries but I wouldn't ban them in the private sector.

The NHS needs to look at what it offers and re-think some aspects. It can't afford to splash the cash and I know I'll get flamed but I don't think it should offer assisted conception either. As to cosmetic surgery generally, certainly it should offer reconstructive surgeries after mastectomy for cancer etc. and those curious cases in girls where one breast fails to develop, for burns victims etc. But not vanity projects, but it probably doesn't anyway.

Ok but I'm telling you I've literally seen this happen myself - it happens that people are listed because they feel abnormal not that they don't have a perfectly normal (but not porno cosmetic) labia. Argue with someone else if you wanna be pedantic..

My personal opinion on this - and I'm aware others may disagree - is that any genital surgery that is medically unnecessary should be banned. Including the horrendous practice of FGM and circumcision for so-called "religious purposes" and of course , gender affirming surgeries on both sexes.

Breast augmentation/mastectomy is a little more awkward.
Mastectomy - other than for cancer - is the unnecessary removal of healthy tissue so I'm generally against it I guess. Particularly as it in no way turns a woman into a man or even, in many cases, a reasonable facsimile of a man.

But neither does breast augmentation turn a man into a woman or even a reasonable facsimile of one. However, boob jobs are common and it's difficult to legislate that women should be allowed them but men should not.

I do think that the age limit should be raised to 25 for ANY and ALL gender affirming treatment though.

I had no idea who Blaire White is so after a quick Google I found a video of them.

The talking headshot is enough to give the game away with the not quite right forced manerisms and 'female' face, big shoulders and massive hands. That's before any walking/moving around which made it even more obvious.

Those are not cosmetic though.

But in no circumstances can these surgeries be defined as 'successful'
They do not create actual opposite sex genitalia. And they ALWAYS create side effects and life long medical needs that the patients would not otherwise have had.

Blair White is a good example of this. In stills and even video that only shows his head and shoulders he looks very convincing. But I saw a podcast once where before he sat down to be interviewed there was a short piece of footage of him walking to his seat and the gait and size of him was a dead giveaway. So yes, in real life you'd be able to tell

Hm.

'Plastic surgeons performed the majority of transmasculine cases (85.3%), compared with the general surgeons in the CRRM (97.9%) and GM (73.7%) cohorts.'

That may affect things, I would say.

Found a meta analysis of mastectomy for 'gender affirming' care for the 30 days post op:

https://pmc.ncbi.nlm.nih.gov/articles/PMC6635198/

This disaggregates for different cohorts and compares those seeking mastectomy for 'gender identity' reasons:

'A total of 4,170 mastectomies were identified, of which 14.8% (n = 591) were transmasculine, 17.6% (n = 701) were CRRM, and 67.6% (n = 2,692) were GM. Plastic surgeons performed the majority of transmasculine cases (85.3%), compared with the general surgeons in the CRRM (97.9%) and GM (73.7%) cohorts. All-cause complication rates in the transmasculine, CRRM, and GM cohorts were 4.7%, 10.4%, and 3.7%, respectively.'

https://www.bbc.co.uk/news/articles/c0kn5rpj7mmo

Noting the answer to this headline.

Depends if we're talking about pubertal children or not.