the entire article may be read hereThe Psychopathology of “Sex Reassignment Surgery”: Assessing its Medical, Psychological and Ethical Appropriatenesspublished in The National Catholic Bioethics QuarterlyMoral Issues in Major SurgerySpring 2009Richard Fitzgibbons, Philip Sutton, and Dale O’Leary
AbstractIs it ethical to perform a surgery whose purpose is to make a male look like a female or a female to appear male? Is it medically appropriate? Sexual Reassignment Surgery (SRS) violates basic medical and ethical principles and is therefore not ethically or medically appropriate. (1) SRS mutilates a healthy, non-diseased body. To perform surgery on healthy body involves unnecessary risks; therefore, SRS violates the principle “primum non nocere (first, do no harm).” (2) Candidates for SRS may believe that they are trapped in the bodies of the wrong sex and therefore desire, or more accurately demand SRS; however, this belief is generated by a disordered perception of self. Such a fixed, irrational belief is appropriately described as a delusion. SRS, therefore, is a “category mistake”—it offers a surgical solution for psychological problems such as a failure to accept the goodness of one’s masculinity or femininity, lack of secure attachment relationships in childhood with same sex peers or a parent, self-rejection, untreated gender identity disorder, addiction to masturbation and fantasy, poor body image, excessive anger, severe psychopathology in a parent, etc. (3) SRS does not accomplish what it claims to accomplish. It does not change a person’s sex; therefore, it provides no true benefit. (4) SRS is a "permanent," effectively unchangeable, and often unsatisfying surgical attempt to change what may be only a temporary (i.e., psychothepeutically changeable) psychological/psychiatric condition.
hat tip to the C-Fam Friday Fax (link)