The fact that real doctors have no idea how to deal with the shit these other "doctors" do is always amusing with me. 'Well maybe the dog is rotting inside?'
Because there's no standards, both ethically, and as far as procedures.
Everyone of these butchers has their own way of doing it, unlike other procedures, there's no "right" way to do it because the thing they're trying to do is an offense against nature and reason to begin with.
They're trying to force something completely unnatural for the body with a scapel and sutures and wishful thinking, and because it's unnatural the bodies natural healing process has no idea how to deal with it, so it just does the best it can and that's why the troons and poons end up with so many complications.
Every case is its own brand of Clive Barker/David Cronenberg body horror, so its not surprising that other doctors don't want to touch it, because if they make the attempt and something goes wrong then
they're also partly responsible.
No ethical doctor wants to fuck around with Frankensteins Monster.
It's why a lot of the time even when it's starting to look badly infected and if it was say a leg wound from a motor bike accident, the ER doctors would take immediate action, once they see its a rotdog/'ditch they'll try to convince the patient to hold off until they can see the Frankenstein that created it.
Of course the Dr Frankencrotch that created the abomination doesn't care about the patient, if they did they wouldn't do that sort of work, they just want to get paid, and once they've been paid they're onto the next
valued patient mark, they don't want to be bothered by the unhappy troons hysterics, so they'll just put the troon off with a standard "its fine, no problem just give it time to heal" copy/paste reponse, or just flat out ghost them entirely, until the infection gets so bad something
has to be done (just not by them, they're at the Golf course, maybe call back Thursday).
This is of course unless Dr Frankenstein sees the chance to make more money by selling revisions, in which case they'll keep stringing the troon along until they either come to their senses or the insurance stops paying out. This is why so many of these butchers sell the troon/pooner on multi-stage surgeries.
Nobody who cares about their patients wellbeing gets into sex change surgeries. They do it for money. It takes a particular kind of sociopath to look an obviously mentally ill delusional person in the eye and promise them the impossible, then charge them thousands to butcher their genitals.