The magical internet algorithm just sent this video my way, it’s made by someone who is currently on the waiting list for MtF genital surgery on the NHS (so has made it through the diagnosis and hormonal prescription part of the pathway).
This has person is clearly vulnerable, has no family support and is socially isolated. Knowing the healing times & complication rates of gender related genital surgeries I simply cannot imagine that this vulnerable person’s quality of life will improve with surgical castration and penile amputation.
All humans deserve evidence based medical care but it’s especially important when there are other vulnerabilities, such as age or disability.