How do we counsel those considering gender-affirming surgery from a gospel perspective?

Counseling someone considering gender-affirming surgery requires a response rooted in radical compassion and biblical conviction. The Gospel perspective affirms the reality of the person's deep, genuine suffering (gender dysphoria) while upholding the truth of God's design: humanity is created immutably male and female in His image (Genesis 1:27). The counseling focus is not condemnation, but inviting the person to find their true, secure identity in Christ, allowing the Holy Spirit to transform the mind and soul rather than seeking to physically reconstruct the body.