When someone has a mental illness, such as Cotard's syndrome / walking corpse syndrome (in which they think they are dead), we don't alter reality to match their delusion by killing them. We treat them to correct their perception to match reality.
Or, if they have body integrity disorder (e.g., they think their arm is not their own arm), we don't cut off their arm to make reality match their perception. We give them mental health assistance to correct their perception so it matched reality.
Why not do the same for people who do not correctly perceive their own biological sex?...that is, treat them to help them correct their perception to match reality (and not mutilate their genitalia)?
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