i doubt there are a lot of botched circs. My hospital has done millions of them (really) in their past 101 year existance and hasn't botched one.
I was a case of ambiguous gender. I did not get a period till age 22, and till then, I or no one else in the world knew I had been born female. The just though undescended testes, sterile. They didn't have all the cool high tech stuff. Anyway, some man tried to pick me up and offered me money for a blow job. I was 21, he thought I was a nice looking guy. Not being gay and telling him I was not for sale wasn't enough. He had to expose himself to me. So I beat the living crap out of him. He got solicitation and I got anger management which was talk therapy and chemotherapy and female hormones. From there, I became a woman. One that still looked, talked, walked and acted like a man, but had breasts and bled every two weeks. I also developed lots of internal tumors from that. I've had to have my bladder resected for cancer from the hormones, and my uterus (6lbs of tumors) removed. They left the ovaries because although they have tumors the surgeon said "we couldn't get them, we had to close you up.''
I still live in a neutral gender zone physically. I look like an average size, v tapered, guy. I have no gender marker on my state ID. It wasn't by request. Even femal would be better. I was told at the airport since "I had no gender marker, I can't leave the island". WTF? I didn't choose not to have a marker. I brought my birth cert and everything. Of course that didn't reveal any info either.
They also did not have all of this easy "live the real life test and bring letters from doctors and we will hormonally reassign you".
In Russia, not an option. Transgender people are criminals. Till recently, gay people were too.
We did not have the "turn 18 and go to an endo and get hormones" Was not an option. We just lived as the sex we felt we were supposed to be. Now, at age 47, I can get hormones. We have our first and only main land educated endocrinologist (all our doctor are involved with diabetes, they could care less about male or female hormone replacement or thyroid problems. In Hawaii, people eat shit and breathe white rice and noodles till they get to the size of Sumo wrestlers. Naturally, the population is noncompliant, so they will soon fuel surgeon's offices for amputations, cardiologists, and nephrologists and still think their traditional diet of pure white poison is the way to go.
Hence, hormonally dysphoric people are of no concern, they are minorities. Virus sized, atomic particle minorities,