Perhaps it might be objected. What about the damage done by hypothetically leaving those confused about their identity to dwell in their confusion? Aren't we morally obliged to intervene? And I would say, no. Why? Well, first, do no harm as the Hippocratic oath. Remember that, insists. And second, it has been a matter of historical consensus, that sins of omission are less egregious than sins of commission. Thus, leaving someone with gender dysphoria, no matter how warranted, and perhaps it is in a very tiny minority of truly unfortunate cases, to suffer the consequences of the theoretical mismatch between soul and body. His last of a risk ethically, personally, socially and philosophically, then the extremely active intervention that constitutes so-called gender confirming another hated phrase, surgery.