They don't believe the suffering of others can happen to them, and I don't know why they would refuse to consider it.
If you take into account that troons and pooners frequently exhibit strong traits and behaviours that meet criteria for a NPD diagnosis, and that troonery has many connotations of a cult, it all makes sense.
Have you noticed how many absolute cunts claim to be "Christian" (or some other religion)? It's because following X means that they are chosen, they're special, they have a personal relationship with God, they pray, go to church and that makes them
better than you... and that's how they can justify their absolute sadism and dubious moral superiority to others who, for whatever reason, are in duress. These people are usually the absolute opposite of what they claim to be, and because of their intense narcissism, it never crosses their mind that maybe the same shit that happens to the heathens could ever happen to them, because as a good Christian, they are a superior being under the protection of God himself.
Likewise, the NPD pooner/troon is a superior, enlightened being. Because they're a devout member of the gender cult, they will absolutely be blessed with the body of their dreams... an arm sausage will miraculously become a real, perfect, functioning penis, the skin lining their rot pocket will become a genuine mucus membrane indistinguishable from the real thing... All those people who had the affirming surgeries
just didn't believe hard enough. They are bad people, who allowed themselves to be led astray by
false gods bad surgeons.
These sorts of NPD individuals are genuinely convinced that nothing bad will ever happen to them, because they're true believers on a higher spiritual plane and the universe recognises that and protect them. When the inevitable happens and it's suddenly, brutally made clear that they're not special, that they
can get cancer or mugged or raped or lose everything, or their stinkditch/arm sausage turns out to be a horrific, agonising disaster... it's a profound, world destroying shock to them. Admitting that they fucked up and they're the same type of social climbing ape as the rest of humanity is like having someone open the top of their skull and taking an electric hand mixer to their brain. It's incomprehensible.