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There are also people who want to have healthy limbs amputated and feel the same way about their leg or arm as the 10 feels about their penis. Should we accommodate them? Some surgeons would say "yes". Even though for some of them, being a wheelchair user is also bound up with some kind of fetish? Again, some would say "yes".
But if we consider it a sign of mental unwellness to think your left arm is an alien appendage and you want it cut off, then the same applies to the penis. That's where we're coming from: a 10 person can be completely sincere in their feelings but also mentally unwell.
Only if we could replace them with cool action hero augmentations!
I get what you're saying, but there are hormonal factors behind gender dysphoria in adults. I doubt there is an equivalent variable in wanting to saw off your limbs beyond a sick fetish. FWIW I'm happy to still classify gender dysphoria as a mental illness and homosexuality as disability-adjacent, even though I don't have any issue with either on moral grounds.
But it's a dysphoria! And if it's a dysphoria, then it must be accommodated, correct?
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I did in fact ask for this, as it were.
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