With both the Js you mentioned I wonder how much control their parents still have over the lives of their now adult children.
Even without the effects of the medication their parents seem the sort who would strive to keep their children close and reliant on their parents for any major decisions in lives.
That way the child/adult never has time to experience life on their own without the constant pecking of their brain by the parents who did these things to them. So never gets to appreciate what has been done to them.
I would bet money on the fact that both those kids expressed concerns and thoughts that maybe they were already in the right body and did they actually need surgery. But will have been talked round by their parents.