Key points

Trans supporters say transitioning improves lives, while detractors say it fills transitioners with regret.

The majority of trans folk say surgery improves their lives and prevents suicides.

But some people—one group in particular—ultimately choose to de-transition.

Changing genders is never easy. It’s one thing to know deep down in your soul that the gender you were assigned at birth is a horrible mistake, but quite another to present to the world as the other gender or nonbinary, and face the daunting—and potentially dangerous—challenges of explaining your new identity to family, friends, and your larger community, and then living life as your new self, not to mention obtaining medical care.

In the U.S., gender-affirming surgeries have tripled since 2016. This raises a

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