WPATH are now pleasing no one. The Genderbelievers think WPATH is too conservative and restrictive, the old schooler Genderdoctors think WPATH has become too lax and that it’s been to quick to bin the more gatekeepery policies.
The paediatric endocrinologists are making the adult surgeons cases more difficult/less lucrative.
The therapists and psychologists are referring pretty much all comers to surgeons, even though the reason for the two tier process was to weed out the future regretters and those with differential diagnosis such as OCD or eating disorders.
Planned Parenthood have undercut the old processes entirely and will flog hormones to anyone who can fill out a form and see at the bill.
The only people currently happy with
WPATH are the Eunuchs.