So, as nearly every trans person knows, to get hormone treatment, let alone surgery, its necessary to be diagnosed with GID, Gender Identity Disorder. Which is a problem, because it’s a diagnosis of mental illness, which most of us don’t see as particularly applicable. But without it, how to make treatment available through health-care systems ? And some kind of gatepost system would appear to be necessary in a small number of cases.
Personally, what I’d like to see would be a move towards classification by the effects of the condition : taking gender dysphoria as a specific form of clinical depression, amenable to therapy, hormone and surgical treatment in a similar way to , say, depression based on thyroid disorders that may not need treatment because they pose actual physical danger.
And then there’s the really fun part of what to call it, where I would suggest the term Gender Orientation Depression, since it would make answering questions such a joy:-
“Why do you want to change gender ?”. GOD is making me.
“Why do you need surgery ?” Otherwise GOD would be down on me like a ton of bricks.
“Are you really sure about doing this because…( a, b, c…etc.)”. I just trust in the path that GOD shows me…
Now some may say that this is just mocking religion, but there is a side to transexuality which is profoundly spiritual, that hardly any cis person really takes seriously, and turn and turn about is a fair game. Also, anything that messes up the religious right is alright in my book, and they really can’t credibly argue with GOD.