If a person with Gender Dysphoria has Gender Confirmation Surgery it is not the same as someone with Body Dis-Morphia. Someone who knows they are not in the body they are supposed to be is having the surgery for different reasons. This is why it is not a mental illness and why we cannot call it a "sex change" anymore. Sex Change sounds too non-nonchalant rather than the person doing the surgery for a good reason, i.e. their mental health and happiness. Gender Confirmation Surgery sounds more accurate pointed to the persons' needs and affirms that this was their gender the whole time. When someone suffering from Body Dis-Morphia has a surgery it is because they have anxiety about their body and gender has nothing to do with it.

According to Doan, the coming out process is spatial as well as social. Research has mentioned that trauma is connected to Body Dis-Morphia. As discussed in class, people who are homosexual or trans are targets for violence in their childhoods both in the home and in school.

It could also be that holding in your true gender or keeping it to yourself is harmful for your mental wellness. Children with Gender Dysphoria could be afraid to voice their discomfort in their bodies if they are surrounded by non-supporting spaces.