I agree with you, transitioning seem to have got so protected and questioning choices deemed politically incorrect that I wonder if the doctors disagreed with the procedures but were unable to comment as rules and regulations about protected characteristics (race, religion, disability, sexual inclination, etc) prevented them to question the choice in more depth.
It seems that we are tying up the hands of doctors because patients “always know better”, we are not letting them do their work.
... or it may be that all the old psychological assessments that used to take place before a procedure have been affected by budget cuts.