One is free to cut off their own healthy leg. But a medical doctor shouldn't be free to do it for them.
I think this shows your ignorance of the severity and depth of gender dysphoria. This isn’t cosplay. This is who these people are. They’ve known from their earliest days that something was mismatched.
So it’s not a healthy leg in this instance. It would be gender care that helps the patient align who they actually are.
Sounds like we just disagree on whether someone thinking they're a woman or a man makes them a woman or a man and therefore makes it medically appropriate for healthy body parts to be altered or removed.