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Isn’t the fact that we separate gender and sex because one (gender) is a social construct while the other (sex) isn’t?

No, gender-sex separation has always been an oversimplification. The fact is that gender identity is driven by complex interactions between biology and society. There is no better explanation for why regret rates for gender affirming surgeries are the lowest across all of medicine.

I've never heard this before. Can you point me some place where I can read more?

In this meta-analysis, the regret rate of GAS was found to be 1%. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8099405/#:~:tex...).

Compare this to:

Prostrate surgery: https://www.europeanurology.com/article/S0302-2838(08)00764-... (19%)

Knee surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6961288/#:~:tex... (6-30%)

Mastectomy for breast cancer: https://www.medscape.com/viewarticle/964824 (8% -- and this is presented as very low!)

The satisfaction rate for gender-affirming surgery is in a completely different league from the rest of medicine. (And I have a lot of sympathy for the few people that do regret them -- I'm good friends with one such person.)

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