Perhaps suicidal people should be hospitalized before being operated on, but I wasn't going to tell anyone I was going to kill myself, I was going to just do it, and plan and take special care to make sure I died. But now it's after the fact, so it's kind of moot for me. I'm not sure what to say about others in this case. I think transition is the most effective form of treatment for certain transsexual people, and seems to be all that we have available to us, that group for whom it works best. If something were better, why shouldn't we want that though? Why shouldn't we want to prevent transsexualism if we could or find a more effective, less physiologically and socially disruptive treatment? There will likely be better treatment in the future, but for now, for people like me, it seems like this is all we have. Call it barbaric, in the same way that electroshock therapy or the use of certain drugs for treatment of other conditions in the past were barbaric, but this, like those treatments, is all that we have in the modality of our time. We can't time travel yet to get that new treatment now, just like they couldn't, so we use what we know best. Research is the only thing that will change that, but obviously it's not happening, and I do believe it should. And yes, I do see discontent with sex experienced as a physical sensation being distinct from gender dysphoria, or discontent with sex experienced psychologically. I believe the two experiences should be disentangled from each other, and that perhaps for early onset transsexualism the person experiences both, while other people may experience one phenomenon or the other individually. The reasoning and development for such experiences could also probably inform further whether transsexualism is an accurate diagnosis. People who want to change their bodies or believe they can genuinely change their sex have coopted and been lumped in with transsexualism under the diagnosis of gender dysphoria, which was made specifically to expand access to people who wanted it but were not classic transsexuals. It's why I and a lot of transsexual people feel similarly to others who disagree with gender ideology and this concept of "gender identity". It's necessary to disentangle it, and transsexual people suffering from the classical or early onset forms described in the earliest literature on the phenomenon probably need to have something like "sex dysphoria" created as a new diagnostic to differentiate us, or push for more focus on reintroducing transsexualism into the DSM as separate and more specific compared to the current description of gender dysphoria. It's why people like truscum or trans medicalists claim so many people who claim to be transgender or "trans" actually aren't, they wouldn't be considered such if the diagnosis hadn't been altered to include more people.