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[–]jet199 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (0 children)

That's definitely part of it.

Anyone who has had SRS will need life long medical care and reliable specialist emergency care.

They can't risk upsetting their doctors or giving any hint they might not be tru-trans because it might be the death of them.