think about it, when they cut off their dicks, they are plunged into the hell of "pass." there is no going back, they are infinitely aware of the impossible task of being seen and recognized by a woman in a man's body, and they suffer from mental problems and finally commit suicide. why do you think troon medical papers are full of joke questionnaires? because when you actually try to evaluate them quantitatively, you get disastrous results. no sane doctor would ever recommend such a thing to a patient, but it seems that there are few sane doctors in america.
Japan