I guess it just barely sunk in for me how utterly fucking horrifying this whole SRS nightmare is. A massive group of sexually aggressive autogynephiles, socially isolated autists, depressed loners, naive straight girls who never fully reckoned with their sexuality, and other assorted vulnerable groups have not only coalesced into a single community meant to reinforce their shared delusion (which is already bad enough, the worst possible thing for someone who has a severe mental illness is to find a place where they are told they are right. look what happened to all those girls who got sucked into the Tumblr eating disorder vortex), but they also are loud enough in those delusions to force society at large to bend to their will.
But beyond that, the medical establishment who is charged with helping people like that lead functional and productive lives has been infiltrated by monied interests who are actively opposed to that goal. If you cure a trans person of their underlying mental illness, the most the pharmaceutical companies will ever get is a person on a low dose of fluoxetine, maybe lithium if they're "lucky." But if you feed into the delusion, and tell them that these surgeons can give them everthing they want, then you'll have a permanent customer, so fucked up on painkillers, hormones, antidepressants and likely generalized maintenance medications that they can't even see straight.
Horror writers wish they could come up with something as deeply horrifying as the life of a transgender. Suffering from delusions that are never treated. Only talking to those who will reinforce the delusion out of an honest belief that they are seeing the world as it is. Either a rotting hole in their abdominal cavity that is lined with their own inside out scrotum, a piece of intestine, or fucking skin grafts made of cadaver tissue; or the degloved tissue from your forearm rolled up like a slice of ham stitched directly on top of your flayed clitoris, with a tube of plastic running through it allowing you to piss if your lucky, otherwise a "natural" extension of your urethra that is full of holes and scar tissue, and gives you debilitating UTIs seemingly yearly. By doing this to yourself in either case, you have denied yourself the sexual gratification which likely led you to do it in the first place, leaving you an empty husk socially and sexually, with nothing to do but seethe on twitter, and pop the pills you know are killing you, but that you can't stop taking or the lie that keeps you going falls apart. It's like something out of Saw, if the writers were on bath salts, or if unit 731 and all those Auschwitz surgeons were employed by a private corporation. It gets hard to laugh at these people sometimes, because in a just world they would be given therapy or socialization or whatever they needed to be a happy functional member of society, instead of allowed to fall down a hole of delusion so far they inflicted what amounts to a real life Giger nightmare on themselves.
