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[–]ActuallyNot 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (4 children)

The current best practice isn't clearly the best since suicide rates are still high even after surgery,

Nope. For instance:

RESULTS: Transgender children showed no elevations in depression and slightly elevated anxiety relative to population averages. They did not differ from the control groups on depression symptoms and had only marginally higher anxiety symptoms. - https://brettcollins.ca/files/peds_Olson.pdf

[–]Vulptex 4 insightful - 1 fun4 insightful - 0 fun5 insightful - 1 fun -  (3 children)

Yeah, because they're children who haven't suffered puberty yet. Unfortunately that also makes it nearly impossible to diagnose gender dysphoria vs. confusion or social contagion or other causes.

[–]ActuallyNot 2 insightful - 1 fun2 insightful - 0 fun3 insightful - 1 fun -  (2 children)

The results are consistent if you include adults. Here's a meta-analysis of 53 studies.

Note the results:

53 studies were included. Findings indicate reduced rates of suicide attempts, anxiety, depression, and symptoms of gender dysphoria along with higher levels of life satisfaction, happiness and QoL after gender-affirming surgery. Some studies reported that initial QoL improvements post gender-affirming surgery were not always enduring.

[–]jet199 7 insightful - 1 fun7 insightful - 0 fun8 insightful - 1 fun -  (1 child)

Those studies are all badly done. Most have a drop out rate of 30-50%. What do you think happens to those trans people who fall off the map? Also those who have surgery rely on their surgeon to keep cleaning and fixing the open wound they have. They have a justifed fear that if they give them a bad review the care they need to survive might be taken away.

[–]ActuallyNot 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (0 children)

Most have a drop out rate of 30-50%.

That's not mentioned in the limitations section.

Did you just pull it out of your ass?