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Great, go with that, what if?
What if trans people are just mentally ill? Well, if they're mentally ill then that implies that there's a cure, we don't know what that cure is, therefore treating it like an illness is pointless. Instead we should treat it like a condition, i.e. something that the person has to live with. Other examples of conditions are ADHD or Autism, and how do we deal with those? Well, the first step is always for the person to accept that they have that condition and make arrangements so that they can live a "normal" life, these might include taking prescription drugs to normalize their brain chemistry but also behavioral and environmental changes to make their situation more comfortable, including asking people to have leniency on stuff like tardiness which is difficult for them to control. And how is that any different from a trans person taking hormones and asking people to use different pronouns? Why does it matter to me if the person wants to transition? It's their body, I don't care if someone does plastic surgery to change their nose, why should I care about their genitalia?. So what if being trans was a mental illness? Until a cure is found nothing changes, whenever a cure gets found then we can reopen the discussion, but unless a person is being a menace to others I oppose the idea of mandatory treatment, so it would be up to trans people whether they wanted to change their body or their minds, and I know what I would choose 100% (I'm a mind, I have a body, changing my body doesn't change who I am, so that's an easy choice for me).
What of gay people are just deviants? First you would have to define deviant, but in any sense of that word it honestly doesn't matter, because what two consenting adults decide to do, deviant or not, is their own business. So why should you care?. The only "valid" answer here that I can think of involves religion, but we live in a secular society, where we recognize freedom of religion, therefore your religious ideas can't be imposed onto others, so it's not a valid argument in our society either.
So long story short, what if trans are mentally ill? Nothing changes, they should still be able to choose the sort of treatment they would prefer for their "illness", and hormonal therapy, surgery and asking people to use different pronouns is a valid treatment. What if gays were deviant? Nothing changes, any group of people where all of them are consenting adults should be able to do whatever the hell they want to. So what if you're wrong? You still should behave the way you already do, so nothing changes.