So from the experience of people in this thread alone, the NHS has no problem at all with saying no to non trans patients, and explaining that they wont do x procedures (even when desperately wanted and the patient is in distress) because of the risk of regret. Not risk of appalling side effects and lifelong damage as a result, but just risk of regret.
But they don't say no to patients presenting as trans. Those brakes are off, the treatment approach is very unequal.
The 'pathway' and support is conditional upon the person in question progressing towards surgery, and is only allowed to be affirmative. This negates it being informed consent or a balanced presentation of treatment options. This is not replicated in any other form of NHS treatment.
If the T+ political lobby wishes to argue that this is untrue, and that they have not successfully controlled and intimidated the NHS into performing this surgery unethically and for political reasons rather than the patient's objective best interests?
We are left with very sad cases such as this demonstrating that some patients who have this surgery regret it, feel harmed, live with permanent and extreme end pain and harm to their bodies that is life changing in itself, and are saying themselves that they did not give informed consent and did not have the capacity to consent to the full reality of this.
So which is it?
Either we listen to all trans voices and what they have to say, or we don't. We can't just pick the ones saying what the lobby likes to hear.
And this bullshit about collateral damage to some people's lives is fine because others will end up happy also has to go. It's relied on way too much by this political lobby, who do not seem capable of valuing anyone not currently being useful to them. Even their own people, who got into the mess they are in through trusting them.