Yet the treatment is to mutilate the body instead of figure out and treat where the problem actually lies.
This is an error.
Scientists
are trying to figure it out! What makes you think otherwise? The brain truly is the last frontier of medicine.
Until they do however, to just say to sufferers “too bad, so sad, here’s a length of rope” is simply unethical in its own right.
So, WPATH proposes a spectrum of treatments ranging from, basically, cross dressing and living in the opposite role part or full time, to hormone treatments, to surgery.
What would be unethical would be forcing surgery on those finding comfort and balance with a lesser intervention. It is not unethical to propose surgery for the more difficult cases.
And no, not all cases go to surgery. I know of trans people from the lowest level of intervention to the most extensive level.
I agree that not following WPATH standards (i.e. the “informed consent model) is inadequate and unethical.
I also believe not offering any treatment is unethical, as the treatments have proven effective in the majority of cases.
In case folks have forgotten, the teen in the OP’s article used the informed consent model. IMHO that is where the issue lies in that case. The patient was inadequately assessed. That is the ethical failing, not the notion of surgery to alleviate suffering.