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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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I know that there is a treatment for extremely debilitating OCD which involves brain surgery and an electrical implant which stimulates the brain. I don't think there's anything other than the accounting of the sufferer to diagnose these patients. However, in the specifics of the one case I know about, the patient was debilitated because he felt he had to always concentrate on his breathing and was constantly anxious over whether he was going to be unable to breathe. His distress was so extreme that he was going to surgeons and asking them to give him a tracheotomy.

I believe it's still a very experimental deal and hasn't been done often. The case I saw on a TV show talked about the struggle of this man to get insurance to cover the cost of the surgery and implant and extensive follow-up.

And even then, surgical interventions are the absolute last resort. Patients with any other kind of psychological distress have to go through extensive therapy before such invasive procedures are even considered.