“The story is: I was highly vulnerable. I may have had a sexual assault in my past. I may have autism. I may have obsessive-compulsive disorder, borderline personality disorder. It’s not just gender dysphoria. It’s often a host of comorbidities that may or may not be properly treated at the time. They will say: ‘My distress was through the roof. When I reached out to counselors and medical providers to help me, this is what they told me was the answer. And I believed them. In hindsight, I now realize I was told something that was incorrect.’ In the eyes of the law, that is medical malpractice. It can also constitute fraud—a situation being misrepresented for the purpose of luring a patient in to make money.” – Josh Payne