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Is "regret" here necessarily supposed to be interpreted as "would rather have died"? I have had cancer surgery, it was not necessarily life saving, it was more precautionary (as I understand it, I was quite young). And I have some regrets related to it, but not that surgery itself. I can imagine there are a lot of cases like that for other cancer treatments as well, "I should have gone another round of chemo instead", "another round of radiation". Which may mean higher risk of not making it, but may still not be the same as "I regret having my life saved by this necessary surgery".
I'm not saying this to cast doubt on the relevance for making the comparison to gender affirming surgery. I think the comparison is apt and relevant. For gender affirming surgery there are basically no equivalent to radiation or chemo alternatives to surgery (not that they necessarily are an alternative to surgery for cancer either. Surgery may absolutely be necessary for survival). Since gender affirming surgery does not have an "I should have done treatment X instead, hence I regret my surgery", maybe this explains the discrepency in the regret rates?
Fear of death makes you gullible to accept treatment when it wouldn't have been the best outcome for you. Some cancer treatments prolong your life very little compared to the time you'll spend in a hospital, and instead of living 2 weeks longer after 6 painful months in the hospital, some people could have been in palliative care among their loved ones for 6 months and die. It is easy to regret agreeing to hospitalization at the end of your life.
Don't forget wringing your bank account dry so there's nothing left for your family after you go!
I will always forget some parts of the world are crazy like that.
Yeah, that is also one factor to account for possibly.