The surgeons who do trans surgeries are butchers. They overpromise and do shoddy work. The rate of post op complications for MtF is 50%. For phallo, it's 80%. Even if the best surgeons did the best work, there would still be complications and failures because the surgeries are just not possible whilst human bodies are the way they are. Colon tissue cannot become vaginal tissue. A female urethra cannot be stretched to the tip of a neophallus without fistula.
Vulnerable people undergo these surgeries and wind up horrifically disabled. Some die like Griffen Sivret and Apollo Moon - both in their 20s.
My heart breaks when I read trans forums and see the pain and horror these young people have to go through. Meanwhile the Mengele who did the surgery disappears with the money.
Even a stopped clock is right twice a day and Trump is bang on here. We should not be butchering mentally ill young people. End the butchery now.