It's really quite bizarre how much work in trans healthcare bases itself on the idea that a patient who deliberately seeks out the Penis Removal Doctor and says "Yes, Penis Removal Doctor, I am certain that I would like to have my penis removed" might be lying to the Penis Removal Doctor, so that they can have their penis removed without actually wanting that.
What's even more bizarre is that the most common "solution" to this is a months-to-years long hazing ritual that has nothing to do with ensuring the patient knows what they're doing, and if you complain about how ridiculously abnormal this is for any kind of healthcare you summon a legion of "um actually" types who insist you're fighting against basic pre-surgical consultations.













