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Activists always say penile inversion has a lower regret rate compared to knee surgery. The disanalogy, however, is that when knee surgery patients are filling out a survey they’re not concerned about how this data might “look bad” for the knee surgery patient “community.” That’s why self-report for trans medicine is fundamentally unreliable: politics and activism are fundamentally woven into trans medicine and we are no longer dealing with regular evidence based medicine objectively assessing patient outcomes.