The answer
Some patients report relief, preferred changes in appearance, or better short-term psychological outcomes. A report of satisfaction can be sincere without proving that the treatment restored health or left the body unharmed.
The physical logic is straightforward: blockers suppress healthy puberty, cross-sex hormones induce changes contrary to normal sex development, and surgeries alter or remove healthy anatomy. The degree of injury, permanence, regret, and satisfaction varies; the bodily disruption does not.