...And that's at a minimum!
Charging insane sums of money to mutilate a persons genitals or cut their breasts off is madness. This is irreparable damage in most cases and these poor people are promised that it will finally cure them of their mental illness. You don't need to look too far in the trans community to see horror stories of lies, botched surgeries, and lives that are ruined. The whole thing is so disgusting and predatory that it sounds like it came from fiction.
Lock these people up! Anyone that would even consider doing such things should not be allowed to practice any kind of medicine and belongs in a nut house.
If they remain "baffled" I strongly suggest they become un-baffled very quickly.