you are correct for some its a type of body image disorder where they "feel incomplete" as an able body person. They feel the only way to truly be happy in life is having the offending but fully functioning limbs, and go to drastic lengths to do so. Again its a slippery slope, and as you mentioned, where does it stop if the initial amputations dont quench the feelings. users dont look to OD, they are just chasing the high People who get tattoos generally dont stop at just one. The medical field, friends family, and even the government step in to protect people in manic depressives and other psychosis. Its that balance to weigh out ones wishes with term health and functionality/longevity of life. Some times common sense and even a 3rd party must step in even if its not what the person wants. as we all know some times fantasy is much better than reality. Talk about a life time of regret if an amputation takes place and they realize the grass is not greener on the other side. While I wouldnt turn back the hands of time on my accident, I also would not endorse amputation as a character builder, a way to feel "complete" or for sexual gratification. Its drastic, its life changing, this is not like cutting your hair, or buying a new car. I can only assume transgendered people go through term assessments and soul searching to make sure they really really want/need it. Others would argue wannabes would be subject to the same thing. But I a big difference. They way I it popular or not is life prior transgendered surgery is tough uncomfortable from an emotional side, and hopefully and relief and acceptance post op. you can still walk, talk, function in society regardless pre or post op. Not all amputees climb mountains, so really you are truly limiting your life, and inputs into society. What does that have to do with kink? Why should society care? why not "to each is own" Well, of we had that way of thinking, then, bestiality and non consent would be all ok.