It seems my superiorty has led to some controversy
FTR I'm not coming at this from malice towards u guys, I'm just curious as to why you're so entrenched in thinking this
I'm starting to expect you're some sort of pooner chaser.
It's really just coincidence how often I come across them IRL. Plus an ex and my gf have considered it so I know a bit about the thought process, or think I do. I don't actively seek them out
There are a multitude of solutions to all of these before a mastectomy, and I hate how the (Western) world has productized surgeries that people forget it's a surgery.
This is exactly what porn addicts say to women who get breast reductions. I think it's a major excuse, because I think they would've tried to do those things you mention before paying for a costly surgery. you mention reduction as being valid, so I'm really confused why you scandalize this relative to that.
They're dysphoric because they don't want to be women.
And why does this bother you? Would you rather them be miserable/suicidal women? Why do you see this as a win honestly?
No surgery will resolve that distress
Except it does... I hope you can think outside this thread which shows horrible examples of what the average surgery looks like.

Is this "horrific"? Does this make you punch the wall at how "disgusting" it is? It's barely noticeable at all.
Some people see the existance of *any* boobage to be detrimental, so why stop them from getting rid of it? If people are going to estrange their families for this surgery, then let them, because the amount of bravery it takes to commit to that at such a young age should be praised not diminished.
Unless you're a cancer patient or you're getting a reduction to relieve your back
Not that different IMHO
thin romantic animeboi-faced ladies can chop off their tits for pooner cred and drown in fictosexual faghag pussy.
And why's it bother you that they want to be yaoi vampires or whatever? Live and let live I guess, more power to them if they pass well.
I don't care if they "mutilate" themselves, because not too long ago things like tattoos were also seen as mutilation. You're just being alarmists over nothing in the end. Plus they can get implants if they really do regret it (and a lot of detransers do)
Those Thai ladies with the brass rings around their necks have a fucked up spinal column and neck muscles, but that doesn't matter because the rings make them "look better." Chinese women with bound feet couldn't walk more than a few steps at a time, and sometimes they died because of their gangrenous broken toes, but that didn't matter because bound feet "looked better." An estimated 99% of women in Somalia have their genitals mutilated because it "looks better" and helps them be accepted in their communities.
Leave your boobs alone.
In these cases those things were done for the sake of others (men forcing it upon women). It's not at all the case for this, where they choose to get it themselves. Come on bruh