Ha ha you'd think that, but no. There aren't that many places that will do these surgeries, and only a handful of surgeons. In some states and under some of the woker insurance plans, the surgery is covered so even poor people can get it. In other cases, Siedhdhd and her ilk are pushing the narrative that kids will kill themselves if they don't get it, so add in desperate parents finding the money somewhere. That adds up to more people seeking the surgery and not much competition. In her Irish Times interview from the OP, she says she does four surgeries a day:
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That was in 2018 and she was doing other plastics work as well. Imagine what her volume is four years later, now the gender craze is 100 times more visible, and she does nothing but SRS, mostly double mastectomies.