I believe patients have to go through all kinds of psychological tests, assessments and theraputic appointments before hormone treatments and surgery are approved.
I think Caitlyn had every right to seek and receive such treatments and wish her well.
But I agree with you that it shouldn't matter that much to anyone outside her circle. In fact, I am rather appalled at how this subject is being forced on our children. Example: watching a kid tv show on station devoted to children, what commercial is shown? My father wants to be a woman. Watch "Becoming Us" (or something like that) My granddaughter had never heard anything like that, and didn't need to now. She has enough to deal with in her own life, is doing fine figuring things out at her own pace. I don't like the media forcing this on her using a kiddie show on what I hoped would be a safer station. Had I not been there to answer her questions.... well, I just don't think it was right.
You didn't mention passing an "x"/"y" anomoly genetic testing...which was the claim from many an LGBT poster here as a legitimizing factor for amputating healthy organs.
Why didn't you mention that as a hurdle in order to qualify for surgery?
The reason why all this matters outside Bruce Jenner's circle is that we as a society insist that our medical doctors follow what's known as "the hippocratic oath". That oath means that they have a deep and compelling committment to "do no harm" knowingly to a patient...any patient...
In fact my own father died/was killed recently by a group of doctors doing just that; against his will even. But that's a more extreme case. The problem is that it can get to that level once an MD here or there begins to soften the rules on "do no harm".
In the case of my father, the doctor tending him had a parent suffering with the same disease my father had underlying his final acute condition. He was sick of taking care of his own parent's needs so he felt it would be better if "my father" (read: my mother, who he was projecting his own angst onto) "didn't suffer anymore". So to assure "my father didn't suffer anymore" he allowed my father to drown in his own fluids, slowly, over a period of four days by witholding simple antibiotics for sepsis. I'd shoot an animal on my ranch out of mercy before I let them drown over four days. In the middle of that time, in desperation, my father roused from sedation, muttered to me and told me he wanted to "wake up" ( he wanted to live.) The doctor tending him who wasnt in the room at the time decided I'd misinterpreted what my father had said and then from that time on kept him more heavily sedated lest he waken and express some other "nonsense".
That is what can happen if MDs suspend the hippocratic oath and begin projecting their own relative moralism into the practice of medicine. This doctor was in a more liberal setting and his administrators got his back. There's another part of the story that's even more sickening, but this is not the place. Long story short, you want your MDs to not be causing harm to patients.
How "transgender surgery" causes harm is that it is fully known and expected that most patients post-op experience lifelong battles with incontinence, since a sphincter in the urinary tract cannot be duplicated. They also report being sexually numb. And from the incontinence, they are more prone to urinary tract infections...which..coming full circle...is what my father got sepsis from. So, the same lack of ethics that chopped up Bruce's healthy organs may be the same lack of ethics that "let's him die for his own good" from sepsis.
See why society has a vested interest in Bruce's situation?