Suppose that law and medical-oversight powers are unclear. State whether you would perform the amputations or not.

You are a capable cosmetic surgeon running your own private practice. A famous footballer has scheduled an appointment with you. After years of soul-searching, they have come to realize that they are transabled – they identify as disabled despite being traditionally abled; specifically, they believe that they should be legless. While their legs are uninsured, they are emotionally valued by the patient’s many fans, the league that employs the patient, and the patient’s friends and family members. Those who know of the patient’s identity and belief overwhelmingly find them troublesome; thus, the overwhelming majority of fans, friends and family, and employers all stand to be emotionally and psychologically harmed by the patient’s desire being satisfied – that desire being to respect what they believe to be a right to bodily autonomy. The patient is well-informed about the potential complications and adverse side effects which, given your technical proficiency, should be as limited and unlikely as possible. You gather from interacting with them that they are very serious and emotionally invested in the amputations. Due to their football success, they can afford to pay out of pocket, since insurance will not cover the amputations. Suppose that law and medical-oversight powers are unclear. State whether you would perform the amputations or not. Elaborate the moral reasoning behind your decision, including the (ir)relevant moral principle(s) and how they apply to the specifics of the case. Specifically, state whether one or more of them is absolute and why. If they are all prima facie, then state why. If absolute or prima facie principles conflict with one another in this scenario, then state how we should decide which to privilege and why. Pay special attention to autonomy – what it is, what it is not, when paternalism (weak or strong) occurs, if/when it is ever justified, and why. State the primary goal(s) of medical care (not the scope) and why. Explain why your decision is consistent with that/those goal(s).