“But rav shlomo zalman would agree that if the therapy isn’t working, as is the case with many of these gender delusional people”
Bingo. So, what he is saying is that if therapy doesn’t work, then transition surgery WILL work. This is not supported by science or anything other than leftist quackery. L’maaseh, they’ll kill themselves anyway. The transition does not help. If anything it makes things worse. What a shocker, the Torah was actually right about assering it I guess.
The rabbonim were awfully quiet about all the suicides and overdoses caused by the 2020 lockdowns that many of them supported. I’ll spell this out again: they only apply the suicide-omni-heter to leftist political causes. This isn’t coincidence. This is the side effect of consulting with doctors and making the mistake of assuming they’re impartial. This practice needs to stop, and I’ll criticize it no matter who does it and no matter how black his hat is.