The answer
The original cohort reported psychological outcomes among carefully selected patients who completed a staged protocol. Those measurements should be described accurately, but reported satisfaction or symptom change does not reverse suppressed puberty, hormone-induced physical changes, or removed tissue.
It was also small, lacked an untreated comparison group, combined medical treatment with psychotherapy, and followed a population and protocol that differ from many current referrals. Those limits make broad causal claims and modern generalization difficult.