An entire psychology racket has been created around the idea of trans people, and that the trans population needs quasi perpetual counseling, as well as perpetual psychiatric medications in many cases, etc.
And Psychologists coining the social construct of trans people within Psychology research, have created academic research streams that are easy to get published in “top” Psychology and gender studies journals to get academic tenure credit etc at universities, compared to many other streams of research.
And this is noteworthy, because talk therapy does not do better than placebo after a novelty effect, for things like serious clinical depression, and surprisingly neither do anti-depressants, and neither Psychology, nor Psychiatry have come up with real and complete cures for things like schizophrenia, only partially effective mitigating therapies, that sadly in many cases, are only effective for certain periods of time, or not effective at all.
So, if you are in a snake oil discipline that has a requirement to publish pseudo-scientific research, in psuedo-scientific journals, that does leave you in a rather desperate spot.
You have to publish on something, it has to look noteworthy, even if your discipline does not do better than sugar pills, or faith healing and often worse, at treating the ailments that it was designed to treat.
Creating a social construct designation, especially one that the Psychology discipline has designated as especially vulnerable to both mental illness, and social bullying, and therefore in need of study, and lifelong mental health counseling solves those publish or perish problems, and then some.
So, the trans population, whether deliberate or not, as a phrase identified, published on, and promoted by the Psychology industry, just happens to be a serious cash cow for that business, as a model.
And, yeah, in the U.S. gender reassignment surgeries pay surgeons very well, and in the UK, even when paid for by the National healthcare, surgeons still get paid different salaries based on the complexity of the procedures associated with the speciality.
And without the argument that the trans person might kill themselves if they are not allowed to have it, how often would a cosmetic surgeon on the national UK plan get to do a surgery as interesting as making as a cosmetic penis or a cosmetic vagina surgery?
Because one thing that U.S. and UK surgeons, and surgery centers, have in common, whether they are back surgeons, brain surgeons, or cosmetic surgeons, is they seem to find reasons to do surgeries, and enjoy doing surgeries.
Especially surgical procedures that either reimburse better, or justify better salary bases, as surgeons tend to be competitive by nature, and that includes being competitive with money, too.
And unlike the Psychology snake oil, or the Psychiatric pill of questionable impact, a surgical treatment is not snake oil, or magic Jesus water.
If somebody has their junk cut off, whether or not the surgeon puts prosthetics in, that is a whole different level of real, compared to asking someone if they have ever had suicidal ideations, or how they are feeling, or the short half life, and questionable efficacy of having them take a prozac.
The question of suicidal ideations relates to fantasy, and self-reported measures are often lies, anyway, in both directions.
The psych pills wear off quickly, and often are the chemical equivalent of throwing shit at the wall to see what sticks.
But, cutting off parts, is permanent, not truly reversible, and unlike the psych crap, makes a real world change, of a sort.