Dave suffers from gender dysphoria and, as a result, he identifies as a woman. As a means to align his body with his self-understanding, Dave requests the surgical removal of his male genitals.
Fred suffers from body integrity dysphoria and, as a result, he desires to be disabled. As a means to align his body with his self-understanding, Fred requests the surgical removal of his arms.
Alex suffers from body integrity dysphoria and, as a result, he desires to be disabled. As a means to align his body with his self-understanding, Alex requests the surgical removal of his arms and eyes.
Mortimer suffers from body integrity dysphoria and, as a result, he desires to be disabled. As a means to align his body with his self-understanding, Alex requests the surgical removal of his arms, eyes, and a portion of his colon thereby requiring a colostomy bag.
If surgeons are willing to grant Dave’s request, should they also grant Fred, Alex, and/or Mortimer’s request? And if not, why not?