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That's the problem. But I do know people can have that feeling where a part of your body isn't yours and you want to cut it off (source), and I wonder how much that's related to this.

I think that's pretty much it. I don't know what my completely informed opinion is, as it's not completely informed. I think plenty of people have legitimate feelings of dissociation between their bodies and their minds, and if surgery is a treatment that can work for that, then do it. Then...