It's only ethical if the alters consent.

Is severe mental illness of DID (multiple personality disorder) an impediment to hormones or surgeries? David S. Bathory, a contributor to WPATH’s SOC 8 says No. "Don’t worry about it-get consent from all of the alters to avoid lawsuits about regret." Amanda J Kaufman agrees despite 2/12 DID patients having regret post hormones. Where's the evidence basis for this strategy? #30daysofWPATHpride #Pride #PrideMonth