The length these people will go to just to affirm and prolong their insane delusions is, quite literally, insane. And at this point, it's hard to symphatize with SRS patients that eventually suffer horrible side-effects (infections, necrosis etc.) from botched surgeries (it wasn't particularly easy to do so to begin with), because by now there have been so many cases of this type of prognosis after the procedure that it wouldn't take them much time nor effort to research into what exactly they're doing to their body and the horrible, typically chronic, debilitations that could arise from going ahead with SRS.
I, however, do not care a single tiny bit about the fetishists that decide to go ahead with these sorts of procedures, if anything, they're deserving of the (potentially) lethal complications that arise from this medically-approved genital mutilation.