Exactly this. I have met trans people (real ones, not the "gender-non-binary" kind). Transition is a joy for most of them. Hard? Yes. But so worth it. The trans people I've met celebrate their surgery days like birthdays. It is a weight lifted off them.  And she's basically arguing that a doctor should basically be compelled to give you the surgery, even if they believe it is not in your best interests. Let's compare this to body modification, which I practice. If I were to walk in tomorrow to my favorite tattoo artist and demand that he tattoo the word CUNT across my forehead, as big as he can - well, I can assure you that he'd refuse. He'd refuse because he is an ethical dude who would understand the repercussions of doing something that crazy. But by this, uh, person's logic, my WANT is all I need. How dare I be refused something I WANT, no matter how stupid or ill-advised. What logic!