something that genuinely pisses me the fuck off about trans surgeries is that there's so much gatekeeping bullshit you have to jump through for it
I should not need two mental health professionals to say "yep, she needs this, it's kinda making her life living hell" when I am living that every single fucking day
it should be informed fucking consent like HRT
If you gatekeep, put waitlists on, or otherwise put requirements other than informed consent on trans healthcare:
YOU ARE KILLING PEOPLE
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