gender dysphoria is not real. not in the sense that the term was christened or as a "pathology" of human development.
the distress and despair develops in relation to, and is the reasonable consequence of a society that 1) asks "how do you want your body to be?" (proposing desire) explicitly through visibility of trans people, and 2) implicitly through an evolved and ubiquitous social landscape of virtual persona, representation, and mass media (expanding the domain of desires), and 3) that widely makes it known that it is possible to prevent or reverse some permanent and undesired changes of sexual development - that it is possible to occupy a different social role and gendered treatment, and that one will be permitted, accepted, and justified for doing so by medicalizing themselves (thus creating a possible world where that desire is obtained).
now we have this modern landscape of adolescents sexually developing by relating themselves to and consuming an endless stream of unique visual representations for perpetually adolescent bodies and sex roles contrary to what they have, or that they might be currently developing out of. possibilities of social roles that are otherwise unacceptable for them to occupy as they are naturally. and a development of self that happens almost as much in a virtual landscape as it does in real life, where fictional representation is the ubiquitous aesthetic and privacy and anonymity allows one to freely relate to any possibility without social consequence.
its all a recipe for the despair: an imbalance of synthesis of possibility to necessity (i am not as I relate myself to myself), and for regret: the denial of a possible world (i could have prevented a permanent change if I had transitioned sooner).