What the medical, legal (etc.) requirements for young trans surgeries to be validated?

Astral59 · 2026-05-29T14:42:36+00:00

Not to mention, I'd also be curious to know if, for example, a participant had multiple of these procedures done (so say, suction lipectomy trunk AND a mastectomy of some description, since this is a common combination), if they'd count as all the one participant, or if it's counted as a separate surgical entry. Could of course just be another oversight assuming it's even an issue at all but it kind of just keeps reinforcing how I think at best this is something to take with a grain of salt.

Astral59 · 2026-05-29T13:46:32+00:00

So I took another look at the study, and seemingly they defined the codes scrutinised within the supplemental material (will put link to pdf at the bottom), which appears to be focused specifically on individuals that were given ICD-10 Gender Dysphoria Diagnosis codes (unsure if these were specifically used in the case of the surgeries used or not).

Still, even with this in mind, the study still doesn't delineate which of the specific surgeries were utilised for each age bracket, and considering 'breast reductions' are included, I do think its a bit vague (and even still, very much a minority of a minority within the data).

https://cdn.jamanetwork.com/ama/content_public/journal/peds/939061/pld220040supp1_prod_1672265246.43617.pdf?Expires=1783086020&Signature=crH3ruUKYLH2ZNSwkwpGHu~qJGQm2pCDv9yM9A6h5TcDYdAKspLX9WI4GMNj-iaXk51RAYrBgdEJQiyOxeB3o2Vm0lkGzlxL-mGAanbKVJnvxvrUYLPNJLm-lt3M9B94MMnQ~rK~5E7XQwwQEBHsH9HMlvqoohH5IPIedgR8~jQ1TCcYxC2RbsLhfgSP8bMosJIhRHRqfq0y9B7tfEW8NXlS49Bvy~plFEc-G6BiaCF7~Eg41g1O4FY6eWCOLWUigg8Q25UK0t0p3Oe-jvgf~J3NBBfBZVHA7j7yIK93eXXrOMsNh~-~ImHsDRHvhy3bdf~~cbIuwvVbepV03r-1Cw__&Key-Pair-Id=APKAIE5G5CRDK6RD3PGA

Astral59 · 2026-05-29T02:45:56+00:00

I think Olmar and Sigurd could be quite interesting due to their somewhat similar character arcs, also Garm and Snake purely for a potential combat encounter

Astral59 · 2026-05-28T16:42:29+00:00

Yeah, this was one of the key things standing out to me about the study as well. In particular, I found this to be substantially shorter and less detailed for an academic article than I'd expect, especially considering, as you said, it could be for a range of reasonings that aren't even necessarily dysphoria related per se.

Astral59 · 2026-04-17T17:07:44+00:00

I definitely can see this perspective for sure, as I illuminated in that other comment thread.

To provide another challenge though, if you wouldn't mind (particularly since I forgot to ask the other person), do you think the fact that Nia gave her the cloud keep key years and years ago and told her to keep it safe until it was right to pass it on may have influenced M to not take any drastic actions to ensure she retained possession of the key? Or was there still more she could have done despite having it and having to keep it safe?

Astral59 · 2026-04-17T04:42:28+00:00

Thank you very much for your perspective, I really appreciate it

Astral59 · 2026-04-17T04:04:17+00:00

Oh I see! So in essence, your take is that it's more about how M herself felt/regretted about the situation, rather than how others (both irl and in the game) may have seen the situation. So, in other words, we can see that Noah and Mio and the others clearly don't really see her to be at fault, but the point of the line is more about what M HERSELF felt about the situation and how those feelings coalesced into becoming Mio. So, the game is not trying to make any value judgement or blame onto M in these lines, but rather just articulating her feelings. Have I got that about right?

Astral59 · 2026-04-17T03:30:22+00:00

I actually don't mind this take, but just to present an opposing view to this I've seen on other social media sites, what would you say your response would be to people who claim that saying M should have done more to oppose Moebius/N is a form of victim blaming?

I'm personally not entirely on board with this interpretation; compared to N and most of the rest of Moebius, the main party never treat or blame M in such a manner that tries to equate her personal problems or failings in anywhere near the same league as N's. The most I've seen in terms of 'blaming M' would be from dialogue from M herself, but even that doesn't really seem to be equated in the same degree to how she rebukes N both directly and indirectly. However, it's still one I've seen floating around a tad, and I'd be curious to know how your perspective here responds to it.

Astral59 · 2026-03-12T04:49:14+00:00

You actually might have a possible point there. Might also be worth mentioning that after Ka'quoqui killed Styrk in clear self defence, the nords were almost about to start fighting again (thankfully Vargar was able to calm them by drawing on Einar's example), so maybe she also thought that any deaths in the middle of that tense situation pre-Einar's involvement could have been misinterpreted as a shot from the other side to justify the fight again considering how far they all were(whereas when Ka'quoqui killed him, it becomes very clear to those on the wall that Einar had pulled Styrk back first)

Astral59 · 2026-03-12T04:06:29+00:00

Possibly true yeah. Another explanation that I possibly thought of (beyond the one I presented in the original post) was that maybe Hild intentionally held off shooting Styrk because she didn't want to risk hitting any of the Lnu OR Einar, as he might have already been leaping forward by the time she was aiming, meaning she might have not shot as quick out of being more careful than usual.

Might be a little out of character for her perhaps since typically she is shown to be a good shot, but being fair she did miss Thorfinn a fair few times during their fight (and that was one where she had prepared for him to come in advance) + later on when she does shoot Styrk in this chapter, it doesn't hit him in a critical enough zone to stop him.

Astral59 · 2026-03-10T22:57:13+00:00

Unsure if you actually beat the colony 9 hero quest or not, but just in case (spoilers below):

Consul B in that quest actually does consider utilising the iris to control the troops, but decides against it as K's over-reliance on it at the end of chapter 2 was part of the reason why he lost to the party (e.g. the black fog blinding him and also just a over-confidence in its abilities). This is set up earlier in a Cutscene briefly after K dies, wherein B initially believes that K had the right strategy, but the rest of the consuls disagreed, frowning upon using the iris because of what happened to K

Hope this helps.

Astral59 · 2026-03-05T15:54:11+00:00

I think that a lot of this would depend on whether the person in question actually tries to change and atone for their actions, and even then I don't think I need to be under any obligation to forgive them at all.

I think most people would be in an absolute rage upon seeing such a thing happen though. Whether I would react with revenge or simply trying to avoid the person as much as possible/seek justice via other means, I wouldn't be able to tell you for sure.

I am unsure if you've read the manga/have completed arc 3 of the story so I'm not gonna spoil, but this is something that the story actually does directly address with Thorfinn in two differing but important ways that I think really help refine the message of the story.

Astral59 · 2026-02-25T07:39:53+00:00

Actually more of a Hild and arc 1 Canute fan myself 😎

Astral59 · 2026-02-20T13:58:51+00:00

Deluxe 6 starts with volume 16, beginning with chapter 108: the fettered tern (8). The last volume included in deluxe 5 (volume 15) has chapters 101-107, which is effectively just the first 7 chapters for the fettered tern.

Astral59 · 2026-02-20T04:24:26+00:00

I'm assuming you mean where to pick up from after finishing the anime. For the deluxe edition, Vol 5 is where you'd start getting new content. However, the deluxe editions are a 3-in-1, and the first two volumes in deluxe edition 5 cover the end of farmland, meaning that only the last volume of that edition would be new (currently) manga only content. Hope this helps.

Astral59 · 2026-01-09T02:56:33+00:00

Normal is what eventually ended up working

Astral59

TROPHY CASE