Readers know that I view sex changes as a sort of cosmetic thing, an extreme version of nose jobs and tummy tucks. I have no problems with such things if people want to pay for them. Some people want to be taller and find a surgeon to lengthen their legs, and I have seen people who truly benefitted from breast reduction. Don't laugh, because huge breasts can be a sort of handicap.
So I do not hate cosmetic surgery. It makes plenty of doctors very wealthy, but it is not me. When it comes to elective sexual mutilation, though, I have to draw some sort of a line. In fact, I can't imagine a physician who would be willing to do it.
See this: Doctors against dissent, trans edition