@Background Pony #332A
Not entirely from what I've seen on shitter from random pony artists and reposted shit from the tranny board on 4chan, hormones are cheap and while suicide rates are high, far less are actually axewounding than is generally thought. It does happen, but the average tranny is slightly more sane than usually percieved (though not much, holy shit the majority of them are addicted to so many drugs)

@Background Pony #2906
A big aspect of it is political. This sexual fetish for enormously expensive and unconvincing plastic surgery is a bourgeois affectation, far out of the reach of 99% of people even in the most affluent industrialized nations. It's a flex on the peasants that makes them un-fireable and immune to criticism or consequences. The joke's on them, though. They try to transform into women and fail, then a year or two later try to transform into corpses and succeed.

@Background Pony #A180
God knows lmao. There are a lot of mentally ill trannies out there. Psychological theory is kind of a mess because psychology isn't a real science, but Blanchard had a point with a few things. If you take a cursory glance around /lgbt/ you will immediately find this to be highly contested by the behavior of Anons there, but there is a decent amount of evidence elsewhere for some, which I will provide a case example of. From wikipedia: "Blanchard categorized trans women into two groups: homosexual transsexuals who are attracted exclusively to men and are feminine in both behavior and appearance; and autogynephilic transsexuals who are sexually aroused at the idea of having a female body." The first category is what I believe we are concerning here today, essentially a faggot who has applied faggot colors to himself to appear more appealing to "bisexual" men who would be willing to date a troon. My chief example here is this oc: https://ponerpics.org/tags/oc-colon-melody+bliss (warning: some pretty disgusting and gay shit)
If you look at the earlier images you will see that the oc is tagged as a stallion, every image with genitalia present shows male genitalia up to the point that the oc owner "transitioned", after which a single image can be found of the oc with a vagina as well as a horsecock. Most of the images are just what is ostensibly a stallion getting fucked in the ass by another stallion. The oc owner is not interested in being a woman or a mare, he is interested in virtue-signaling with his dick and engaging in disgusting gay sex. There are more examples I could track down I'm certain, but:
Tl;dr, many trannies don't actually want to be women. They want to be effeminate faggots who get fucked in the ass by slightly more masculine faggots.

@Background Pony #A180
Because muh representation. Because muh waving muh troon dick in the fandom's face.

@Background Pony #2906
Why make an oc trans and not just the desired sex?..

At least the other troon filly was drawn by an artist who knows what anatomy is, this just looks like shit all the way down.