Reply To: Moving Beyond Psychiatric Gatekeeping for Gender-Affirming Surgery



Omg I love Canada 💕

Let me first say that I agree, gender identity and self-expression should be considered human rights. But that’s not exactly what we are talking about here, is it? Medical intervention is not necessarily required for either of those things. Moreover, our self-expression is already restricted in plenty of situations.

What happens in Canada if a person who suffers from a severe mental disorder asks a doctor for breast augmentation? Is it up to the doctor to determine whether or not the treatment is in the patient’s best interests? Do we want plastic surgeons determining the mental capacity of their patients? Or, do we want them to just perform any surgery a patient can afford?

There will always be some sort of safeguard, even if it’s just the front-line doctor saying no. It seems maybe the question is more about where to draw the line, rather than whether to draw one at all.

As usual, Barb, I’m glad you chimed in. Squuuuuuueeeeeezeeee.

Edit to add: What would happen if a person who didn’t have appendicitis requested an appendectomy? Is there a safeguard?

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