I'm comparing apples to apples. Both gender dysphoria and body integrity identity disorder are mental health conditions where the sufferer seeks to have healthy

I'm comparing apples to apples. Both gender dysphoria and body integrity identity disorder are mental health conditions where the sufferer seeks to have healthy body parts altered or removed. But only gender dysphoria somehow gets the green light for actual irreversible body modification, including on children. I mean, I'd hope you wouldn't support lopping off a 13 year old girl's arm because she said she feels like her 'true self' is a disabled amputee. Having the same done to her breasts because she thinks she should be a boy is no different really. These are children who haven't finished, or maybe even started, puberty yet, a time of much natural bodily change. They inherently cannot understand the full implications of what they're asking for, in a way that competent adults may be able to. The other key thing is, most children who report feelings of gender dysphoria will desist if they don't undergo transition. With watchful waiting, letting the child go through puberty normally and become an adult, instead of medical or surgical interventions, the problem usually resolves itself. Your comparison to cleft palate surgery is not sensible, this is to correct a physical birth defect that impairs function. Feeding and speech and so on. If a girl suddenly grows a beard, and it's a symptom of an androgen disorder, then yes she should receive medical treatment. Because she is female and her body isn't supposed to be producing androgens in those quantities. Again this is a physical health problem where there is an actual defective condition in the body, not a mental health issue like gender dysphoria or body integrity identity disorder where the subject just thinks there's something wrong with their body. The parallels with lobotomy are really quite disconcerting. For example, lobotomy was sometimes inflicted as an attempt to 'correct' homosexuality. Some parents who have encouraged their child down the transgender path are on record as saying essentially the same thing. As have whistleblower clinicians at the UK's largest gender identity clinic.