Frankly I think we need to hold the doctors accountable for this sort of thing. A lot of doctors in this business I think are pushing profits over the well being of their patients and should be investigated. Some of the stuff I've seen should get their license to practice rescinded. There's a reason why people used to fly off to Thailand and places with loose regulations to get their gender transitions done by sketchy doctors that wasn't just price. Most principled doctors aren't going to perform things like gender nullification surgery on clearly troubled individuals the same way they don't perform elective amputations for people who decide they just don't want their limbs anymore. Greed in the medical industry is driving this. To call these people doctors is an insult to the practice of medicine.