“This reluctance to acknowledge regret may step from a reluctance to confront the consequences of [transgender people’s] own choices… In the first follow-up study of patients what the time were referred to as transsexuals, conducted approximately 15 years after the Netherlands began offering sex trait modification interventions, the majority of participants reported being happy and feeling no regret despite researchers noting that improvement in “actual life situations [was] not always observed.” … Rather than being proof that sex-trait modification surgeries are the cure for gender distress, these low regret rates are cause for investigation.”

should be systematic over all the subjects to explain the outcome. Whether this is the case is difficult to answer. Taking into account that the evaluation has been marginal and does not warrant far-reaching conclusions, we assume that the research findings do not indicate that the reported subjective well- being should be regarded as unreliable or misleading. The fact that the research situation does not prompt the interviewed persons to deliberately describe their situation as better than it really was, can be regarded as a sup- porting argument. Transsexuals who had yet to complete medical treatment were not in a position of dependence on the investigators, because the inves-
tigators were not involved in the treatment.