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It's amazing to me that to get gender confirming surgery you need a letter from a psychologist and an unrelated doctor to prove you're sane enough, but if you're a rich dude you can just pay to have your legs broken so you can be over 6 feet tall.

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Ethically, these doctors are supposed to get reassure themselves that their patients are compos mentis. In practice, though, actually doing so effectively would devastate the plastic surgery industry, especially this sort of fringe stuff. Note that there seem to be about three doctors worldwide who do this as a cosmetic procedure. (It is worth noting that the doctor in the article says he's turned people away, so some sort of screening is presumably being applied.)

There was an amazing Channel 4 (UK TV channel) documentary a while back about penis enlargement surgery. _Every single person_ who appeared in it should probably have been referred to a psychologist. One guy had it done about 10 times.

Right now my son can’t get a time-sensitive surgery at any price, which has a non-zero chance of damaging his hearing and speech trouble.

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