Given the prevalence of forced mutilation of intersex babies as well as medically unnecessary circumcisions, I humbly disagree that these procedures are "weighted on total outcomes". Unnecessarily cutting off (part of) a baby's penis is not comparable to being unaware of a new drug's side effects. Every doctor who has performed that procedure was fully aware that it was medically unnecessary and did not have reason to believe the baby would not come to regret not being given a choice years down the road. I'd argue these procedures are institutionalized medical malpractice.
No shade on you personally because you seem to be approaching the topic rstionally, but I think it's critical to acknowledge that the field of medicine still has very strong biases in these matters and is not nearly as Cartesian as it is sometimes made out to be. Especially on sensitive topics such as gender identity or reproductive rights doctors have a lot of latitude to be bigoted and to unilaterally deny necessary care.
Hopefully not... Otherwise someone is literally boofing microplastics.