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Not a bit.

Medicine is a programming language - which is why that IBM computer doctor is better than human doctors. A bunch of if statements. "if symptom, then do this"

Recently, the affirmative action hires have been a boon to the morticians, and also readily take bribes to do things that anyone with a conscience would find reprehensible.

Mental illness should be treated first before surgical intervention.

The topic of 'most painful way to die' could be its own post. One of the worst is a tylenol overdose. First, it is likely to be self-administered as a type of suicide, but it takes a long time for the liver to die, and then effectively kill all of the other organs. Slow painful death.
And because of the suicide attempt, that person will not qualify for the transplant list. Essentially a several day long suicide will result.

How is this relevant? The surgical reassignment surgery is another potential suicide making pain that cannot be reversed.