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As OP who is very clearly anti-transmedicalist, I still classify gender dysphoria as a mental disorder that is medically necessary to treat. That doesn't really have anything to do with transmedicalism per se, though. On this subject specifically, what's more important is to support a destigmatization of the term mental illness, clearly understand what it means and what are actual diagnostic criteria for it, and not weaponize it to support restricting people from accessing gender-affirming care just because of the myth that a "mental" illness inherently cannot be treated through more medical and physiological means.