I mean, if you fit in with all the norms that society sets and you feel happy, you don’t need mental health care. However, as soon as you don’t fit in or if you don’t feel happy, it might be a good idea to see a therapist to get help to deal with these feelings. Of course, the therapy should be free if you need it and everyone that even remotely feel the need to talk with someone should get to see a therapist.

I’m saying that being trans seems hard. I don’t envy those who are, because of all the stress and transphobia. I still maintain that it could be a good thing to talk with a therapist when meeting hardships in life, and untreated gender dysphoria must be a hardship. I don’t want anyone to feel like talking with someone about their problems is a negative thing. We all need to vent and be seen for the individuals that we are, especially when we go through rough times.

If that makes me a gatekeeper, I guess I am one. Personally, I think I’m just arguing for mental health care for all.

I’m not trying to gatekeep, I’m just saying that therapy might be a good idea. As you wrote, 1 % experience regret, though I would have guessed at half of that. These people exist and every effort should be made for them to not need to regret their decision. But the other side of the argument is also true: the access to gender affirming care needs to be improved. Especially I feel that there is a stigmatization when someone seeks treatment and that’s really bad.

As for nose jobs, the cosmetic surgery industry is wild and not at all regulated enough. Of course one should need to see a therapist before getting a nose job.

Regarding the costs of healthcare, I find it repulsive that companies make money from people’s misery. Gender affirming care, including therapy, should be payed by the state.

Idk. There have been cases where people have regretted having the treatment. They are few compared to the number of people who think that the treatment was the best thing they ever did, but they do exist. I guess that being trans might cause some effects, like people being mean and bigoted or just the stress of knowing that you don’t fit in to what society seem to expect you to. I think prioritizing mental support through therapy might be a good start before the physical treatment. It will be good for both those that would regret the treatment but also for those that will get all sorts of weird interactions with others during the transition.

You work as a fog horn?

A similar one in Swedish:

Bar barbar-bar barbar bar bar barbar-bar barbar.

This can be translated to “a lightly dressed barbarian from a bar for barbarians carried a lightly dressed barbarian from a bar for barbarians.”