Quote from: Aspiringperson on February 08, 2018, 08:42:25 PM
@ GrayKat: In response to your statement:
""It always amazes me how many hoops need to be jumped through to transition.
Particularly when most any other cosmetic procedure requires no pre psychiatric evaluation.
It's like their attitude is, "Are you surrrrrrrrrrre you want this?
""
In my opinion (and I am sure that you understand this) I don't believe that HRT and transitioning is not just "any" cosmetic procedure. Obviously it is much, much more than that.
It is left unclear exactly what is meant by GrayKat's statement. I agree with you Aspiring that most of transition is not only cosmetic. However, there are aspects that can be considered cosmetic despite the necessity for transwomen. Breast augmentation is cosmetic, but also very useful to many psychologically. Hair removal is cosmetic, but for many a necessity due to beard shadow. I am not sure they were implying GCS was cosmetic. There is clearly the case that it is a major medical procedure that involves completely changing the function of a part of anatomy. Genital hair removal is not considered cosmetic, but medically necessary (though not all require it and some even advise against it) from a functional standpoint. I severely doubt the comment was meant to include hrt as that is clearly medical.
To be honest most of the cosmetic procedures require very little hoop jumping. They require money out of pocket instead. The hoop jumping I'm going through (which isn't really that bad) is so that my insurance will pay for it. My insurance will cover a very limited amount of cosmetic procedures, specifically breast augmentation. I don't need it so I'm not getting it. It does not cover facial hair electrolysis, but it does cover electrolysis of the vaginoplasty donor site.
I could be incorrect and they are indeed referring to GCS as cosmetic. If that is the case then, wow, there is some gross misunderstanding of the nature of the procedure going on. The psych evals are, imo, an integral part of the process. It's major surgery that is irreversible. I don't agree with needing psychological evaluation for hrt (informed consent model). Many of the effects are somewhat reversible, though some would require surgery such as breasts. Permanent sterility is a potential, but you don't need a psych eval for vasectomy or tubal ligation either.
Transition, as a whole, is not even remotely close to a cosmetic action. Yes it does affect a person's appearance, but it is so much more than that. I'm sure I could find an unscrupulous doctor somewhere to give me breast implants with no hrt or transition intent. I could have hair removed for any reason if I pay up. I could get cosmetic facial surgery, etc. These procedures are part of transition for many, but are not transition in and of themselves. It is so much more than that. It involves becoming someone you always hid or wished you could be. It aligns your physical body and hormonal profile with you mind.
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