Limiting gender transition to only non-surgical treatments like puberty blockers and hormone therapy disregards the complexity of gender dysphoria and fails to acknowledge that for many individuals, surgical interventions are a necessary part of their transition. Gender-affirming surgeries have been shown to significantly improve mental health, reduce depression and suicidality, and provide a sense of congruence with one's gender identity. Denying access to these surgeries restricts medical autonomy and undermines informed consent, as individuals should have the right to make decisions about their bodies in consultation with healthcare providers. Furthermore, modern surgical techniques are safe and effective, and limiting transition to non-surgical options creates arbitrary boundaries that do not account for the diverse needs of transgender people, ultimately hindering their well-being.