Plastic surgery had its roots in wartime when soldiers were disfigured or lost limbs during battle. The medical community then started to adapt the techniques and technologies for patients that had the same type of disfigurements from cancer, significant birth defects or trauma injuries.
Years later, seeing an opportunity to capitalize (in parallel with TV coming into homes and emphasizing beauty the cosmetic procedures like “nose jobs” and face lifts became popular.
Fast forward and now we have surgeries and treatments to “enhance” or disfigure in the eye of the beholder. There is absolutely no reason to inject botulism toxin (Botox), no reason for fillers, no reason for a BBL (Brazilian Butt Lift) or yes even breast enhancements. Why? Low self esteem? Mental illness? We are in an era of self inflicted surgerical disfigurement for absolutely no medical reason. And too many in the medical community and media that are complicit promoting the most extreme procedures.
I would suggest that the vast majority of gender affirming procedures fall into this category. Totally unnecessary and unacceptable.
Regarding athletic competition it’s pretty easy to differentiate, so let’s not use rare genetic and physical mutations to redefine them.