C'mon, man. It's simply capitalism in action.

Between hormones and top and bottom surgery, there's Two Hundred Thousand U.S. Yankee Greenback Dollars, in profit.

Slicing and dicing comes with a pretty stiff price tag.

https://tennesseestar.com/2022/09/21/vanderbilts-gender-clinic-doctor-trans-surgeries-make-money-for-the-hospital/