Outing a transperson is presumably a hate crime if done maliciously. I'd be amazed if a reference in a doctor's referral letter counted.
The poster, a GP, said that if the transperson didn't want their trans status noted in the referral, it would be a criminal offence to do so. She said if she was left with an option where she was convinced someone at ovarian cancer, she had to send a letter to say please check out the abdominal pain of this patient. She said that letter would not, in this case, be fast tracked to oncology as she couldn't specify the condition.
She reiterated it would be a criminal offence.
She was very concerned, as it went against all her ethics.
Another poster said she was duty-bound to only offer surgery, as opposed to therapy. She said it is quite well known that surgery can actually feed into gender dysphoria, not alleviate it. (Statistically, there is a spike in suicide about 10 years after surgery).
It is both scandalous and concerning that a medical condition has been politicised to this level.
But even more concerning is that people are fully aware, particularly in the medical profession, but are being silenced.