There are always viable options, and that is the target for treatment: to help them cope and adapt- and yes, accept- their sex (not gender) in order to lead a healthy life.

It's really quite fascinating that you can so accurately describe the condition of transgenderism and GID while completely missing the point of treatment.

In case you haven't heard the most current modalities for treatment ARE to align the body with the mind, and not vice versa. Perhaps you disagree with this approach, but you are reading from an old oooold old manual when it comes to how to treat GID, particularly in adults.

You'll be horrified then to read this

<link>

As for your point that people do not actually change sex with surgery and/or hormonal interventions, that's not realism, my friend, that's pedantry. It is a very small conceit to say that the modifications one makes to align the body towards an approximation of the opposite sex serve as a change of sex. But you refuse to concede this on what amounts to a technicality. "It can't be a real sex change. Because ... uhhh because because... the hormones came from a SHOT not from their own gonads!! And and and... that's a surgically created vagina/penis not a REAL one. And the chromosomes are all wrong. So there."

So what? If these changes allow the person to function as their preferred gender in this binary society, why does that bother you so?? Why does a chromosomal and congenital pedigree mean so much in your world?

I'm not going to belabor this argument any longer, however. Clearly you and I have radically different ideas about what compassion is.