Quite a few patients have undergone gender-affirming top surgery in the US, UK, & EU. The problem is that they aren't being tracked in terms of “validated measures of quality of life, depression, anxiety, or functioning” before and after these interventions.
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Long-term systematic tracking those things before and after would be a big improvement on the current situation. It still wouldn't establish benefits of the treatment either absolutely or relative to alternatives without adequate control groups.