The issue lies in whether or not they're being given enough time to really explore those other issues though. It has been discovered that some girls who reject their bodies and want to be boys are being molested at home by a family member. They're not honest or up front about this sometimes ever, but obviously some psychologists have been able to coax this out of them. So they want to become a boy to get rid of their vagina and their breasts because they see that as the reason they're being molested.
A quick pipeline that does not take lots of time to really explore many other types of comorbidities that could lead to wanting gender reassignment really needs to take place.
If you've ever been involved in therapy or known therapists or done therapy yourself, you know that sometimes a person who's being molested by their dad will not become honest about that for a very long time.... And it's entirely possible that even if they're being molested, they don't make the connection between that and wanting gender reassignment surgery. That could also take a good deal of therapy to come to understand.
My experience with the medical community, the for-profit medical system, is that that kind of time is really not taken for most issues.