It would be the medical profession's call whether or not the feeling is subjective?--if you're using that term to mean not worthy of acting upon. Yet so far, the response of the medical profession to transgendered individuals has been a cautious yes that has only grown more robust, though one area of dissension has been how early kids should be allowed to transition. Gender clinics are an obvious response to this request for intervention. By contrast, most physicians and surgeons would be hard-pressed to meet the demands of the transabled, whose condition is recognized as a disorder, not dysphoria.

Breasts are not good in the same way that legs are. No compensation is needed when breasts are removed--this is a key difference. Indeed, they would be a burden to those who do not see themselves as female. But the destruction of a limb that will involve overt compensation can only mean that the person is OK with the compensatory devices too--perhaps even likes them. That's just neurotic.