If you spend any time watching online tranny communities you'll be quick to find the doctor shopping is very real. Coaching on what to say, reviews and suggestions on who to go to for your evaluation, etc. Part of grooming new trannys is ensuring that not even their own ignorance can prevent them from something irreversible. It gets downright insidious when you see some of the timetables.They say trannyism should be judged by medical diagnosis. If you get a diagnosis and are/could be approved for SRS by a doctor, you're a legit trans. But the diagnosis process isn't hard science like a CAT scan or something. It's based on feelings (are you emotionally trans according to a psychologist asking you questions), self-presentation (you can meet some bare standard of not being openly unhinged), and not being on the record as a sex criminal/domestic abuser/etc. (meaning you can still be those if you keep it on the DL). So it's really very subjective, therefore a shitty standard.
It would require a skeptical evaluator and the Big Tranny will never allow that to happen. There is too much money to be made now. LGBT activists have dozens of legal battles to fight across dozens of states. Marches will be marched and funds will be raised. You have taxpayer dollars go towards the mentally ill to get plastic surgery. Pharmaceutical companies and therapists get lifelong, although often lifeshort, customers. Fucking nobody gives up guaranteed government dough. It's money in the bank. To do anything else other than waste this money is a human rights violation.And even if it was a logically valid standard, how could they possibly enforce it? They believe gender is based on feels and not biology, so who are they to prevent anyone from IDing as a woman, or a frog, or an anime character? They're all sexual libertines who think it would be wrong to restrict anyone's "gender expression", especially by law, so what is the solution here? There is none.
I personally think things will change in the coming decades, but it will take a long time to undo the 5 year tranny blitz. Icepick lobotomies were once a miracle cure all. Thankfully that ended quickly, but not before tens of thousands of people, often women, were horribly mutilated.