Then, extensive psychiactric intervention to prevent remorse-prone, irreversible decisions, especially in cases of "gender affirming" surgery. Gender is "affirmed" at birth, and any attempt to change it is messin' with Mother Nature. Lots of suicides result from regrettable decisions. One split-second whack of the penis, and lots of options are suddenly gone for a lifetime.

Decisions about vasectomies and tubal ligations can be made on a rational, practical basis, and are often reversible. Adoption is a down-the-road option for regrettable, irreversible decisions.

Decisions about mastectomies and other anatomical "ectomies" to obviate cancer and avoid or significantly postpone death are difficult choices but can be logically made.