Except that your gender reassignment request would probably not be thought of as resulting from a mental disorder. Not agreeing or disagreeing with the amputation...just pointing out a difference from this example.

> Except that your gender reassignment request would probably not be thought of as resulting from a mental disorder.

Gender reassignment procedures are commonly part of the treatment for gender identity disorder, which is why they are considered medically-necessary procedures, to which people for whom the state is responsible for medical care (e.g., prisoners) are entitled.

Gender dysphoria or gender identity disorder is an accepted diagnosis in the medical community for individuals expressing discomfort with their gender as assigned at birth, and sex reassignment surgery (after psychotherapy) is considered as one possible treatment.