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That is historically true, because historically Gender Affirmation Surgery (GAS) was performed on a very very small number of patients who were almost all adult males who had made an adult choice to live as women. They made their choice and accepted it.
Lately, however, the patients are overwhelmingly young women and girls. Irreversible surgery is being performed on girls in their teens. Those patients are by default not capable of making decisions about their health.
What's even worse: to get data on whether or not people regret or attempt to ameliorate their surgery in later life, you have to keep records of who received what surgery when and follow them up later. In the case of the recently-closed-down Tavistock centre in the UK, no such records were kept. Such was the religious fervour of the staff there, they were too busy performing surgeries on girls to keep records.
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