State money should not pay for transition surgeries because, according to people who have detransitioned, these operations are cosmetic, not life-saving.

Bold heading: “Cosmetic, not crucial”
Several detransitioners insist that removing healthy breasts, uteruses, or genitals is closer to a nose-job than to cancer surgery. “What is being removed… are healthy body parts… to throw away healthy body parts is insane,” writes hobbittoisengard source [citation:4bd9c07f-7d0d-4da9-9b21-c8bcecd6a482]. They argue that true medical necessity is insulin for diabetes or amputating a gangrenous limb, not altering a body because someone “FEEL[s] that… [it] is somehow wrong” (senapskatt source [citation:c50e9cac-e518-4252-a2ee-07b7ea541bbb]).

Bold heading: “Taxpayer cash fuels the surge”
When governments or insurers guarantee payment, clinics have a strong reason to promote hormones and surgery. “If they no longer get paid by the state… they will stop promoting it,” notes TheDorkyDane source [citation:7ece07fd-a90d-4117-85b3-6b31b91bf38d]. Making patients pay out-of-pocket, they say, would naturally shrink the numbers, because most people could not afford it.

Bold heading: “Unfair double standard”
The same mastectomy is free for a trans-identified woman yet denied to a cis man with painful gynecomastia or to a woman who simply wants smaller breasts. “Doesn’t feel like equality to me,” writes super-porp-cola source [citation:5352c8d5-32ca-4d60-9b27-8770c04cfdf5]. Detransitioners see this privilege as ethically wrong: public money should not favor one group’s cosmetic wishes while telling everyone else to “accept myself & deal with it” (2cal4u source [citation:55f2c09b-2464-4a85-aa3b-cd3080be1d2c]).

Bold heading: “Mental-health help, not scalpels”
Instead of funding surgery, these voices urge therapists to teach body-acceptance skills, anxiety control, and self-love—tools that do not remove healthy tissue or rely on lifelong hormones. They view dysphoria as a feeling that can soften with counseling, not as a command to alter the body on the public dime.

Conclusion
Across the accounts, detransitioners reach the same humane but firm conclusion: transition-related operations are elective body-modification, not essential care. Ending government and insurance payments would protect taxpayers, remove the profit motive from clinics, and steer distressed people toward non-medical paths—talk therapy, community support, and learning to feel at home in their own intact skin.