Well it's also bad when it's done by highly trained medical experts in a modern hospital as part of gender affirming care. It's only when performed as part of

Well it's also bad when it's done by highly trained medical experts in a modern hospital as part of gender affirming care. It's only when performed as part of a pre-medieval ritual in unhygienic conditions by non-professionals in front of a crowd of gawking onlookers that it is totally fine.