The data there is not good. There are studies that claim it is low. They focus on surgery a lot. There are not many trans people (relative to the general population) and not many studies on them. There is not sufficient granularity between:
- trans people who only take hormones,
- who do that and have top surgery,
- who are castrated and,
- who have top and bottom surgery
Personally, I think bottom surgery is not quite there and is definitely a medical frontier and free-for-all. Hormones and top surgery are fairly reversible via application of more money, exercise and time.
Based on that, I am forced to fall back to first principles, and feel that given that the risk of lasting damage is low on some procedures, that those procedures which give perfectly acceptable and also potentially reversible results are reasonable to offer in this way.
- trans people who only take hormones,
- who do that and have top surgery,
- who are castrated and,
- who have top and bottom surgery
Personally, I think bottom surgery is not quite there and is definitely a medical frontier and free-for-all. Hormones and top surgery are fairly reversible via application of more money, exercise and time.
Based on that, I am forced to fall back to first principles, and feel that given that the risk of lasting damage is low on some procedures, that those procedures which give perfectly acceptable and also potentially reversible results are reasonable to offer in this way.