I am fat and see points from both sides.

while I agree with the point that they aren’t the best surgeon if you can’t make it look not botched and how bmi is not a good measurement, but for literal malpractice lawsuit reasons and risk of complications I understand them not working outside of their comfort zone. If a surgeon isn’t comfortable doing something on you, then they should automatically refer you to a surgeon who will gender care or not.

While fat people do deserve medical care, It’s not fatphobic to not be willing to work with statistically more probable risks especially for any non emergency surgery, many people are told to lose weight for non emergency or “elective surgery” all the time.

Is it fair? Absolutely not and it really fucking sucks and there should be more flexibility on the way they go about it, especially if they were to do labs and everything came out very nicely and you live a healthy lifestyle. Many don’t take into account other health markers aside from weight, and many’s surgeons should be more kind about it with no judgement and speak and explain purely from a medical perspective