I am not asking this to be transphobic or anything but I had this debate with myself at 2 o’clock in the morning and every time I remember it I can’t focus.
On one hand, it is what they want. Let’s assume it causes no harm to them or any unforeseen circumstances.
On another hand, it would erase their identity as trans people. At the extreme you could consider it a genocide, since turning them into what they want would mean there is no more trans people and their unique identity is erased.
For me if even 1 person wants it everyone gets it. People who prefer to die can just kill themselves, people who prefer to live can’t choose to survive.