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I’m looking for examples for something I’m writing. Trans people are diagnosed as trans based on not much more than their say-so. There are no lab tests, MRIs, CT or X-rays to diagnose it. I don’t think there’s any other medical field in which they cut off your testicles, uterus or any other organ because of the patient’s decision alone.

You can rule out cosmetic surgeries as an example, because trans surgeries aren’t just cosmetics - a double mastectomy isn’t just a breast reduction, for example.

My understanding is that psychiatric surgeries have gone mostly out of style, and while might be performed in some countries still, they’re a very rare edge case.

Thanks.

I’m looking for examples for something I’m writing. Trans people are diagnosed as trans based on not much more than their say-so. There are no lab tests, MRIs, CT or X-rays to diagnose it. I don’t think there’s any other medical field in which they cut off your testicles, uterus or any other organ because of the patient’s decision alone. You can rule out cosmetic surgeries as an example, because trans surgeries aren’t just cosmetics - a double mastectomy isn’t just a breast reduction, for example. My understanding is that psychiatric surgeries have gone mostly out of style, and while might be performed in some countries still, they’re a very rare edge case. Thanks.

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Skin biopsies were the first thing I thought of. Most dermatologists will just take off a mole, better safe than sorry kind of situation. But those are barely surgeries.

And even then, the doctor can actually SEE a possible problematic mole.

So that’s not even on a patients say so.

Yeah, I'm a hypochondriac and I point out all my "suspicious looking" moles to my dermatologist and she goes, "nope, they're fine". Even in that minor case they don't cut something off just to soothe a person's anxiety if they don't detect a clinical problem.

[–] Sylvanas [OP] 1 points Edited

Happened to me too. Gigantic mole, like a raisin that sits on top of the skin. Doctor said “that’s not cancer, mole looks very good, clear borders. If you’d like to remove it, that’d be for cosmetic reasons only and thus needs to be done privately - not through the public healthcare system.”

If I said I’m a boy I’d get both my tits removed for free.

[–] Sylvanas [OP] 5 points Edited

Yeah, you’re right. I think it’d be similar if a doctor agrees to diagnose a “mole” they cannot see, just to satisfy a neurotic customer.

I recently read about delusional parasitosis, a condition in which people believe their skin is infested with bugs that nobody can see. They’d pick their skin and cause sores, which only adds to their delusions. Doctors don’t tell them “yes, you’re right, you have termites, here’s pesticide” - they treat them with standard psychiatric methods. Trans might be the only invisible condition that gets this strange blind acceptance from the medical establishment.