I think there comes a point where even if there is some legit medical or scientific reasoning behind such things it's important to just step back and look at the thing itself, with lobotomies they were trying to treat legitimate ailments and in some cases, even today, lobotomies are appropriate for a very small fraction of cases, but you are going in and removing part of someone's brain which to me seems like a very barbaric approach to handle mental health issues, especially if it's your go to approach, and even more so when it's literally icepick through the nose. But a full surgical lobotomy in the case where you've got someone with life threatening seizures and removing that part of the brain stops the seizures and it's preferably to death by seizure, that can be justified.

I think in the terms of the trans healthcare there's a similar phenomenon going on, there's mental distress people have for various reasons but it seems like transition is being prescribed as a catch all treatment for a number of things which I don't believe it's appropriate for. However I do think that in some cases where after strenuous psychological evaluations and the attempt of less radical treatment options there is probably some minority of people where a gender transition is likely going to result in them being happier, I just think that's a minority case and that most people who are now referred to gender clinics more have self image problems.

It's like if we decided unilaterally that the proper treatment for anorexia was affirmation and weightloss surgery on all cases.