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.
I think for most of the time, the perception of this sort of surgery is that either:
1: The person who would want it is very mentally unwell, or
2: The person who wants the surgery is being misled that removing their penis will somehow magically solve all their problems.
(Again, this is just my own attempt at understanding why people would want to talk someone out of it)
Honestly if the surgeries like this or similar to this were less permanent, or more reversible, I doubt we'd see as many people be against it. Because the unfortunate thing is that there are a number of people who have regretted their choice after the fact, and unfortunately cannot really reverse it, which makes people who care about a potential "victim" try to talk them out of it.
At the end of the day it *is* up to the person who wants the surgery, without a doubt. But a permanent sex change is still that: permanent. If you regret your choice later, even though at the time you're absolutely 100% certain that you want it, that is still on you, and (at least for right now) you probably won't be able to put your penis back on if you do end up regretting it.
