Nobody - and I do mean nobody, save for perhaps extremely young "pediatric" transitioners, and even then they arguably have a choice in whether to pursue medical interventions on their bodies - lacks a choice in trooning out.
How is someone 'did not ask to be trans anymore than an accident victim asked for the accident to happen'??
We don't know what causes gender dysphoria. For every xx-troon pipeline, there are millions of normal(?) degenerates enjoying it without developing dysphoria.
In other words, it is possible for anyone to spontaneously develop troonism. How are you sure you won't troon out and the next rotting crotch posted here is yours?
If your answer is along the lines of "well duh, trooning out is fucking insane and I would have to be really crazy to troon out even if I developed gender dysphoria!" I raise the second question to you:
Do you honestly think anyone in the world chooses to be that mentally ill?
Are you a natal woman in 'murica and have breast cancer?
Are you a natal woman and need a mastectomy?
So you got the mastectomy, but...where's my areola?? Spot me my areola back!! I do NOT feel human without my areola!!
Insurance: LOL, pound sand. Cosmetic lol.
NATALIE Stewart/JULIANNA Aprileo: Hi, doctor, today I feel like RON. Plz give mastectomy.
Doctor: No prob, fam. And areolas are always on the house!
Fuck this gay earth.
Areolae and nipples are not preserved in mastectomies because they are connected directly to lactation ducts and cancer might spread there.
Also higher risk of skin cancer occuring there btw, women who are given UV-B therapy for skin conditions are given pasties to wear over their nipples.
Theoretically, if a TiF was discovered to have cancerous cells, their nipples would be retroactively taken away, but I have not heard of any of these "top surgery" clinics actually sending in biopsy samples to be tested.
Makes me curious, is it the same for men with testicular cancer? "Lol buddy the only way you're getting your nuts off is if we're putting a stinkditch in you".
So male testicular cancer surgery is a lot like neutering male dogs and cats. You cut a slit at the base of the scrotes under the penile shaft, pop them out, and sew it up.
If the patient REALLY wanted, it can be done with local anaesthesia. Understandably, this option is unpopular.
You can even get silicone implants to keep it looking filled. These implants are allegedly rather irritating and unpopular, and actual male scrotes, even when empty, don't look that bad.