It's insane. On a perfectly healthy woman's body, remove her breasts. Reshape her chest, maybe causing nerve damage in the process. Reshape her vagina to a penis. Stitch up her labia. Alter the urethra. Maybe even remove her uterus. On a perfectly healthy man's body, remove his penis to make a surgical hole that has to be dilated every day to not close up. Take skin from other body parts to make it, sometimes by cutting up the colon. Remove his testicles. Create breasts. Surgically alter his voice. Shave the cartilage in the throat to remove the Adam's apple. Modify facial bone structure until he looks like something he's not.

Give them hormones that aren't natural for their genetic setup. Assure them that this will make them happy. Start telling children and vulnerable teenagers that this is what they may want in the future and block their normal development.

It's barbaric.