Trans surgical procedures have some of the best outcomes of any major procedures. they are performed on consenting individuals who are always well informed and at or very near adulthood, and only after many other interventions have been ongoing. People who receive these interventions show incredibly low rates of regret (compare for example the percent of people who regret knee replacements or probably circumcisions), and enjoy increased happiness and satisfaction by almost any metric.

Basically every major medical organization in the world (and certainly in America) agrees these interventions are medically useful and should be performed. While there are doctors who dissent, they are in the vast minority and almost never actually work with any trans people, but rather insist all the doctors who do work with trans people must be wrong. It’s not a controversy in the medical world, just the political one.