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How are medically approved operations by doctors an ideology?

I didn't once mention medically approved operations? If you're talking about doing them on kids then that's a whole other issue.

and the procedure they decide on is safe, reversible, and is known to make the child’s life happier, who are you and I to stop them?

And here lies the problem - parents pushing their ideology on to their kids. Also what "trans surgeries" are "safe and reversible"? None. Cutting off your male genitalia is not reversible. A hysterectomy is not reversible. Cutting off your breasts is not reversible (though you can at least try and make up for it with breast implants). Puberty blockers are not fully reversible, and most countries are now acknowledging this. You simply cannot stunt someones physical (and mental) growth and have it just resume years later as if nothing has changed. There are zero long term studies on puberty blockers. There are however known long term issues with them.

it’s a natural human behavior to self identify.

Not as a different gender/sex it's not. It has only become a thing very recently, where simply saying "I'm a woman" now means you're a woman, no questions asked.

Please explain how you can say trans people can exist while at the same time if they try to self-identity then they’re being political?

That's not at all what I said. Pushing for being able to let "Self ID" give you access to the opposite sexes spaces and sports and awards and other things is the political part. Trans people existing has nothing to do with that. The issues with self ID are that men who have literally done nothing to transition can now go in to womens events/spaces without question. A great example is the weightlifting competitions where gender Self ID was allowed, so a anti-self id man entered and just annihilated the competition as a protest to show how stupid it is. The only requirement for him to enter the womens competition was for him to tick a box saying he's a woman.

Transgender and gender ideology are different things. Transgender is "I am the other gender to what I was born as". Gender ideology is "I can be whatever gender i want, whenever i want, and can change gender a thousand times during the day, and I should get all of the rights afforded to whichever sex/gender i call myself at the time". They're not one and the same.