It's not self-harm though, it's harm inflicted by a medical professional, which is far worse.

How the hell can 'bottom surgery' on adults ever be considered ethical, let alone cutting the breasts off a teenager? What happened to 'do no harm'?

These aren't minor cosmetic surgeries, these are brutal procedures with long painful recovery periods, and the risk of very unpleasant or poentially life-threatening complications.

If the medical profession had stood up to activists, maintained reasonable gatekeeping, only considered these extreme measures to treat the most rare and extreme cases of gender dysphoria, then we wouldn't need politicians to step in and try to ban procedures outright.

But instead we have 'top surgery' scars being glamourised and even included as a feature in The Sims...