Oh Leigh,
You know that we are have to agree to dis-agree on this one.
My bent on this issue is, and always has been, that if it is strictly my money being spent, then no one, medical professional or not, should have the right to determine my or anyone else's course of action, regardless of the outcome.
If the medical insurance people are not going to pay for the treatment, than as far as I am concerned, the medical folx have no right to force anyone to even consult a therapist. caveat emptor.
They DO have the right to make a potential client sign a waiver against the outcome though.
If, as you put it, some guy rushed to get surgery, and later regretted it, I do not care. As far as I am concerned, that is just one less penis in the world, and we are all better off for it.
Personally, I do not feel that the current SOC do anything to winnow out potential trouble spots from those queing up in line at the surgeon. It has been my observation, that rather, the current SOC turn away and deny the youngest and most vulnerable candidates, and pushes thru those with the greatest income.
Which is ironic, because the system as it stands rewards those most capable of being financially successful at living in the male role, and punishes the youngest and least trained, and least successful at living in the male role. But what the hey, no surprise there? The system was set up by men, for men, and their exaggerated sense of female beauty.
I know that is not a popular viewpoint, but I have been around for a while, and I have seen damn near everything.