Why

Why is it that the (trans)woman knows who she is and wants to be, but the therapist has to learn, and the therapist is the one who gets to decide who she is and wants to be?

Why is that a normal person who knows she's normal except for a issues about her body, but the therapist gets to decide she has abnormal condition and gets to decide what treatment is best for the patient?

Why is it that past their transition, 99+% of (trans)women are happy with themselves, but the therapist is the one who decides if she gets there?

Why is that genetic men and women can have any type of surgery on their genitals without therapy to question their decision, but someone who wants surgery to change the sex of their genitals can't without  therapy which questions and then decides if their decision is right?

Why is the therapist the one who gets to decide the life of a normal woman to get surgery for fix an abnormal physical condition?

Why is the necessary therapy with a transition really an excercise in morality about sex and gender than real, medical help to resolve the (trans)woman's problem with her body?

Why is the control of a transition by therapists an excercise in morality than a treatment to help?

Why does a therapist get to decide if the (trans)woman is woman enough?

If they require this for (trans)women, why don't they require is for genetic women to prove they're really women enough?