Do transsexuals have a serious psychosis?

Please listen to what I am saying before you judge. Basically to me a transsexual is a man or woman who is willing to essentially mutilate their genitals, fill his or her body with chemicals and hormones, and dress like a man or woman in society usually dresses. This to me is completely crazy. They aren't actually changing their gender. There are simply deforming their body. Please don't compare it to breast augmentation or something similar to that. It is simply not the same. When a person is willing to mutilate their genitals to fulfill an inner fantasy or desire than I think they have problems that and may need serious counseling. This has nothing to do with people being gay or anything. I mean, if I wanted to look more like a cow because that is how I felt on the inside and I had a serious operation to make me look like some bizarre human cow would that be a sign of serious mental issues? To me there is no difference. I am not saying that transsexuals are good or bad, I am saying that I think they have serious mental issues that need to be addressed before they pay 10's of thousands of dollars to chemically alter their body and mutilate their genitals. I am also not referring to people born as transgender and making a decision to be a male or a female because of societal pressures. I am only referring to physically healthy males or females that mutilate their body. I think they may need help serious help. What do other people think?

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