Number of mass shootings in the United States between 1982 and August 2025, by shooter's race or ethnicity

[AProudLefty]

And, if money or access to that surgery wasn't an issue the rate would be...?

Would be about the same. Majority of transgender don't want surgery.

 

[Poor Richard Saunders]

Then explain how it is rational and logical that someone who is gender male thinks they are not only female but that it is necessary to mutilate their body and take all sorts of drugs in an attempt to make themselves into a female (or vice versa).

It isn't a recognized mental illness. A transgender person is not out of touch with reality. They are not all that different from someone that wants their breasts enlarged or hair restored through surgery. They are not comfortable in their current body. This isn't a case of them denying reality.

Someone with psychosis is out of touch with reality. They believe multiple things that aren't true. They have delusions. They spend time expounding on their reality.

 

[Poor Richard Saunders]

Exactly what you have in the case of a trans person. They think they're something they are not and act to try and make themselves into their fantasy.

No. Your attempt to make them into that would make anyone that gets hair replacement psychotic. Personal feelings about self are not the same thing as delusions about the world around you.