It's a mental illness that is caused by depression, body dysmorphia, body image issues and schizophrenia, transitioning should be illegal. Also majority are MTF proving that most are incels that do it due to female rejection and because social and sexual life as a female is easier. That is why you have a bunch of degenerate trannies trying to convince incels to transition to foids, I wouldn't be surprised if this worked on extremely unstable mentally ill incels. These fuckers should be encouraged to detransition and the ones that insist they should still be regarded as the opposite gender need to be institutionalized or euthanized.