Gender Surgeon Justification

Consider - gender surgeons often say they do what they do to kids because the alternatives are suicide - that is, a 13 year old says I'm going to kill myself unless you change my gender. But what if the 13 year old just cut out the middle man part of the equation and said, "Gimme 10K or I'm going to kill myself." Would the gender surgeon pony up the cash to do this? Why not?