Transexuals

[TheRealJoeFish]

...wouldn't your statement apply to weight-loss supplements?

If someone is genuinely obese using weight loss supplements are a means to restore health. If someone is anorexic then using weight loss supplements only exacerbates their pathology.

That's sort of my point though.  You're saying "If someone has a genuine physical health condition, altering physiology is an appropriate way to restore physical health."  I don't understand why that is preferred to "if someone has a genuine mental health condition, altering physiology is an appropriate way to restore mental health."  In the first case, the use of weight loss supplements by an obese person generally doesn't harm their mental health.  In the second case, given our tremendous medical progress, the surgical/hormonal transition doesn't harm their physical health (unless one applies an arbitrary definition of "health" involving one's "original state", or whatever that means, which gets us right back to the original problem).

I don't see how it can be argued that medical transitioning constitutes an "exacerbation of pathology" unless you define "deviation from physical birth identity" as a pathology ex ante (which is different from "desire to deviate from physical birth identity", which is already present and is not changed by transitioning)