Right, but there are signs the more complicated treatments are simply ineffective or harmful. See this, from the Guardian, citing researchers: https://www.theguardian.com/society/2004/jul/30/health.mentalhealth
With so much uncertainty, I think it makes sense to err on the side of not comparing people who are skeptics of these treatments as bigots or 'gay conversion 2.0" crowd. I think more emphasis should be placed on counseling.
Like I said, there’s so little long-term data about the effectiveness of some of the treatments (like surgery), that it’s hard to say if there’s a “more effective” treatment. There can be so many other mental health concerns going on at once, that sometimes what appears to be a person who would benefit from hormone therapy or surgery, may not in fact be one.
Sure, but if it causes depression – for example, by enhancing social isolation, or leading to feelings of doubt – that’s not a great outcome, right? Sort of like solving a leg injury by giving someone persistent heart attacks.