If we care are protecting people from their mistakes we’d need psych evals for all cosmetic surgery. These surgeries all carry risk for no medical benifit and people often regret it. Breast augmentation, facelifts, rhinoplasty, liposuction, penis augmentation, tattoos, piercings, butt implants and BBL, LASIK eye surgery, and plenty of botched facial fillers. And women often regret BA, so let’s have a years RLE for that, just in case. You’d have to be insane to start smoking so we’ll definitely need a psych eval for that. Not trans? Oh well, you’re an adult, no need for any of that.