ofc. i appreciate your respectful discourse. yes, around 1 % of individuals that undergo transition do express some sort of regret. the overwhelming majority do not and the biggest regret ~75% is wishing they would have transitioned sooner. to speak to your point, yes...there are already many medical and psychological evaluations before both hrt (hormone replacement therapy) and surgical therapy. in states without informed consent, this process is very gate-keepy and there is typically a requirement to socially transition for a year before even hrt is an option. this is a painful period where the person usually does not "pass" as their gender and is not yet able to begin gender affirming medical care. sadly, people can be cruel and too many do not make it out if this period alive. where there is informed consent, this gatekeeping 1 year requirement is forgone, but one still needs a letter from a doctor and typically two letters of recommendation from two separate psychologists before any gender affirming surgeries can be performed