There is a pretty hefty list of mandatory prerequisites for gender reassignment surgery: Mandatory Prerequisites for Gender Reassignment Surgery (GRS/SRS) A true transsexual with gender dysphoria Surgery recommended by 2 mental health specialists trained in gender identity issues. Hormone treatment for at least one year. Living “true life” test for a minimum of one year. Emotionally stable Medically healthy with any medical conditions being treated and under control. - http://www.thetransgendercenter.com/index.php/prerequisites.html Are these reasonable and ethical restrictions? Do they protect people from making potentially ill-advised decisions they may later regret?