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Notes -
You don't see the cultural element of trans different from getting a knee arthroscopy? Which by the way were overdone for a period, perhaps still are, leading to increased risk of osteo-arthritis, showing the flaws of medical science. There's a long list of procedures that probably don't pass muster that are still routinely done. It takes time for standard wisdom to be overturned, think of the generations subjected to unnecessary tonsillectomies.
In fact in my experience GPs, while very good at studying aren't always particularly smart, and because of the nature of their role, high status with expectations to 'know' and 'heal', lose touch with the limits of their knowledge. They are not scientists and even medical researchers often have pretty low levels of stats knowledge relative to the state of the art. Medical specialists are generally better, but in this new phenomenon of trans, the self declared specialists are actually part of an activist intent, the science and research hasn't sufficiently developed and their isn't sufficient curiosity for an evidence-based system to develop. WPATH had a chapter on eunuchs as a gender identity, which speaks to this reality.
Oh, lazy of me not to notice the original question, apologies. As you were. Yes civil issue not criminal, though great harms can come of it regardless.
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