Maxwell's Demon
Arcane
A delusional person wouldn't stop being delusional after getting a magical sex change. They would continually develop new fixations and delusions.Maybe before magical intervention, but not after. You would be fully female, including your brain and everything derived from it. Like being under the effect of a feeblemind spell. The pre-transition psychological state doesn't really affect the outcome, I wouldn't think.A man wanting to be a woman and a man having the delusion that he should be a woman are two very different things.There isn't really anything wrong with being transgender in a setting where magic can literally make you into a girl without a lifelong dependency on immunosuppressant medication and never-ending post-operative care for a cronenberg fleshrending surgery.
Edit: For that matter, even assuming that gender dysphoria is separate from a delusional state, since the underlying problem with the person's brain causing gender dysphoria hasn't been treated with a Remove Disease spell, wouldn't the person who got transformed into the other sex just continue to have gender dysphoria in their new body?
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