MAID and transition procedures

It strikes me that one thing that MAID/assisted suicide and transition medicine have in common is that too many practitioners do not seem to adequately understand that these things are permanent.  You can't revive someone you've killed, body parts you've removed do not grow back or reattach, and even puberty blockers and hormone therapies permanently change development.  It reminds me, really, of an adult version of the warnings in elementary school that certain behaviors would go on one's "permanent record."