Should there be stricter checks before gender transition treatment is approved?

I agree with PP. 'Transition' is not healthcare and is absolutely cosmetic surgery (and cosmetic hormonal changes). It should not be funded on the NHS and people who desire such cosmetic alterations should need insurance to cover the cost of complications, revisions and reversals (as should be the case, imho, for all cosmetic surgery)*.

If healthcare is desired for gender dysphoria, then the norm should be psychotherapy, with the expectation of cure being resolution of gender dysphoria and trials carried out to determine the most beneficial form of therapy to this end.

Single-sex spaces/services should be on the basis of biological sex. GRCs should not be a thing, for safeguarding and other reasons. If a person chooses to change name, with or without 'gender' change, the before and after versions should be inextricably linked in every digital system going.

Trying to tinker with the current system is pointless as it is completely incoherent. That is what I was trying to demonstrate in my first post.

Cartesian dualism has a LOT to answer for.

*I do accept that the line between complications caused by cosmetic surgery and coincidental or peripheral is hard to draw and would have to be case by case. Life-threatening complications would probably have to be an immediate exception.

I’d like it if all extreme cosmetic surgeries were banned. They definitely shouldn’t be funded by the NHS. A surgeon in Scotland a few years ago was banned from removing arms and legs from healthy patients who asked for amputation. I honestly can’t see the difference between unnecessary amputations and the most serious ‘gender affirming’ surgeries (phalloplasties and vaginoplasties). Treating mental illness with extreme body modification is madness. The phalloplasties especially seem to be beset with complications and end up costing the taxpayer even more because of the necessary revision surgeries, infection management etc.

I could cry when I think that some of our tax money pays for traumatised/confused/ND/mentally ill young women to have flesh removed from their arms and attached to their groins.

It should be banned due to it being biologically impossible to change sex, you are born either male or female and this can’t and cannot be changed. Gender is a nonsensical term, that over time will disappear.

And men have been using women’s spaces for years on a self-ID basis regardless of certificates.

Maybe GRCs will gradually become pointless. People definitely shouldn’t be able to change their birth certificates - you were born how you were born.

Men have never needed to have surgery to have a GRC!

“Gender transition” surgeries shouldn’t be provided by the NHS at all, they are not medically necessary.

No man, no matter how many surgeries he has had, should be allowed in female only spaces.

A history of violence against women seems very relevant, if transition opens up access to all female spaces (as it was take to, via GRC, until very recently).

The transition process is a ‘gate’ for a lot more than a private medical journey.

It’s not possible to devise a framework that guarantees that fetishisists aren’t getting the surgery, nor that vulnerable people haven’t been influenced/ persuaded by said fetishists, nor one that can predict which vulnerable people might detransition 10 years a later and regret “their” (coerced) decision.

ONE detransitioned individual proves flaws in the process and therefore cannot guarantee the science or processes are good.

And there’s no point giving analogies with other medical conditions as it’s not a medical condition. It’s a psychological condition for which there’s no objective test, and the interventions are completely irreversible.

They’re not ‘treatments’. They’re cosmetic surgeries and as such should not be performed under the NHS.

Let’s be very clear here: by ‘gender surgery’ you mean males having breast implants, having their penis and testicles removed, having their jaw and forehead bones and Adam’s apples shaved, having fat moved from their stomachs to their backsides. For females it means having a double mastectomy, having their ovaries and uterus removed, having a huge skin flap taken from their arms to create a skin tube sewn onto their pubis in order to mimic a penis.
In short, bodily modification in the extreme.
If a man walked into a GPs and asked for his penis to be removed the Gp would quite rightly refer him to a psychiatrist!

I think there needs to be a robust psychological support service available to tackle the (majority, I’d say) cases of gender dysphoria linked to trauma, autism, internalised homophobia etc, if this as an issue is actually on the NHS’s agenda.

Is the answer not that regardless of any surgery a man has, he still is not allowed to use women’s single sex spaces like toilets, hospital wards etc?

that surely is the most effective way to manage the risk men pose towards women? Any medical treatment they have had is utterly irrelevant

There is a YouTuber called Ezra Butler who was allowed to transition With alarming speed via Gender GP top surgery also!

This person has a well documented online honesty about being mentally unwell and ED
its shocking

No, I am proposing that trransgender body modification be excluded from healthcare. They should not be available on the NHS, in the same way that nose jobs, tooth filing, and scarification are not - because they are not healthcare.

It should be banned altogether. It’s absolute insanity.

There should be no gender transition surgery through the nhs full stop. We have children unable to access cancer therapies and treatments due to funding restrictions as well as numerous other similar situations, any gender transition surgery should be funded privately - if someone is unable to afford private surgery then counseling/ mental health support should be provided to enable the person to cone to terms with the body that they have - a bit like people who have to come to terms with life changing injuries or birth defects where surgery cannot be offered ie burn survivors, those born with limb deformations etc

20 years ago DH had a colleague who had surgery. He had to ‘live as a woman’ for a year first and go to some counselling sessions first.
Within a few years he moved and returned to using a male name etc. he was utterly miserable when it hit him that he wasn’t in fact a woman. The counselling didn’t pick up that he had serious issues with being gay and had been rejected by his family which clearly was the route.
I don’t think they even make them jump through that many hoops now and that clearly wasn’t enough.

Are you proposing complete self id for access transgender body modification?

These treatments today on the NHS require assessment for gender dysphoria by a psychologist.

I'm confused, is your implication that someone doesn't "deserve" a particular treatment for having prior convictions?

Yes, they should brain scan them to make sure they have the brain of the the opposite sex.

There should absolutely be more checks before ANY gender surgeries are conducted or hormones are prescribed including a requirement for the individual to acknowledge that no treatment will enable them to change their sex.