I don’t think it’s ethical at all, for a few reasons:

Every trans person I know (admittedly not many, but quite a few) has a slew of health issues, and the health issues are pretty similar amongst them, so I’m guessing it’s possibly related to their “transition” (I acknowledge it’s an uneducated guess).

I’ve said so many times that I think it causes too many issues and is too invasive for everyone else. Treatment for a mental illness should never demand so much from others, and it shouldn’t rely so heavily on other people literally lying to and for you (and to themselves) or having to accommodate you in ways that go against their own needs and rights

We can’t really discuss the surgeries, but... the surgeries are concerning to say the least

It seems to only actually alleviate the discomfort a dysphoric person may feel (sometimes), it does nothing to address the actual mental illness itself and in fact exacerbates it

It’s a faulty solution, whether it’s effective or not relies on either experimenting on children, extensive surgery (not just bottom/top surgery, but things like ffs) or it’s hopeless for many. The need to “pass” seems both a huge desire for trans people and also almost impossible, I know some trans people do pass, but it seems to be very rare. I don’t mean at a distance or at first glance pass, but genuinely passing seems something that can only be accomplished by harming children (which- if they can’t get proper bottom surgery because their genitals didn’t develop as they should, can they ever fully pass? Idk the answer just typing as I think), even more surgery, or being fortunate enough to have bone structure and physical build that facilitates passing (literally just someone being “lucky” enough). Basically I’m trying to say that even if this is the accepted method of treatment, it sets up most trans people for a lifetime of being visibly trans. Seems counterproductive.

Everything about transitioning seems to be designed around doing whatever possible (and asking society at large to participate in doing whatever possible) to feed and protect a warped self image and pretend that someone is something they aren’t. Usually when someone gets treatment for mental illness, they learn to manage it, to cope with triggers, and take charge of their own mental health to the best degree they can. Transition is the complete opposite of that. Transitioning seems to set trans people up for a lifetime of either people lying to them to protect them, or being vilified for being honest, it puts the rest of the world in charge of someone’s mental health, while putting the trans person themselves in a mindset of either knowing they aren’t what they seem and committing to pretending they are and not being honest with others or convincing themselves they are truly something they aren’t. It’s absurd to me.

When people have to invent spectrums and new definitions and rely on pseudoscience because actual verifiable science denies what they want to be true, when the reality of biology and your own body is a trauma trigger, or you have to convince yourself that fact is bigotry (or even that sexuality or female rights as a whole are bigotry)- you’re still deeply mentally ill

I always say adults should be able to do whatever they want to their bodies (they should have to pay for it, or at the least have to pay whatever insurance policy will cover it), but I still think that it’s unethical to fuel mental illness and perform such invasive extreme surgery on people who are so mentally unhealthy that they “need” these types of surgeries to begin with

Last thing I’m gonna say because otherwise I’d just keep going and going- transition wasn’t developed to help them, it’s a result of deep homophobia. Dysphoric people deserve a treatment that will actually address the mental health issues they have, and instead they got “transitioning”, which treats nothing but their discomfort at their naturally developed body, offers them false promises, and commits them to a lifetime of either lying about who and what they are (pretty much always to other people, but also to themselves) or being “othered” because they aren’t fortunate enough to be able to lie because they are visibly trans.