How to swap out your junk and why I hate the system

I have an appointment to be assessed for sexual reassignment surgery. AKA "the big switch." AKA "genital surgery."

I am glad that I have an appointment, but I'm pissed off that I have to go through with assessment.  Really pissed off. As in having-trouble-sleeping-so-I'm-writing-it-down pissed off.

The present criteria for assessment for genital surgery, derived from the Harry Benjamen Standards of Care (or HBSC) are as follows:

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And here is what pisses me off:

1. I have already gone through this, and don't see why I have to do it again.

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2. This system is billed as "making sure we do what's right for the patient" but is mostly designed to cover doctor's asses.

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3. This system is arbitrary

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4. No. I mean really arbitrary

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5. Really, really arbitary. Or should I say "homophobic?"

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6. The in-role period makes no sense

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7. This process is gratingly slow.

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8. The assessment criteria are buggy

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9. Many assessors act like jerks.

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Conclusion:

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This is wrong. I don't like it, and I don't want to enable it.