We respect the rights of transgender people to express their lifestyle without repression.
However, gender and sex are not the same and some of those seeking to remove all gatekeeping were in the past medically excluded from the NHS transition process because they did not have this dysphoria. Different treatment protocols and protections for society may be appropriate in both cases and could be compromised if treated as being equivalent.
As such we fear safety is at risk for those transitioning unwisely without considering all options or being assessed for appropriate causes. Cases of de-transition are being reported more often when, with gatekeeping, these were rare.
We also worry about children who may be put on irreversible medication too young for them to be sure whether they are trans gender or transsexual or something else that may not require it.
Much more research is necessary but is often blocked by activism claiming it is transphobic. We regard it as nothing of the sort, but rather essential to offer better options for an insidious medical condition we wish upon nobody.