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You seem to be conflating issues. You quoted my original idea, effectively challenging the notion that medical professionals should be the ones advising on the relative advantages and disadvantages of gender reassigned individuals in combat sports. Put simply, if you are consulting, referencing, citing, or in any way relying on a medical professionals claim(s) to support your ideas, then you agree with me. If you instead rely on a fighter to make these calls, as you stated, then you disagree with me.
Assuming the latter (and related to your other questions); if you feel those are best answered by fighters, then I strongly disagree. This isn't intuitive-- at best, most fighters without any background in the field, can only offer an opinion. The more educated ones rely on peer reviewed work that an actual professional has done, so it still comes back to what I've stated. Either that, or they rely on the various athletic commissions to license and regulate policy concerning trans athletes. If it's good enough for the IOC and leading professionals, then I'm inclined to believe it's okay for MMA, until proven otherwise.
Confidentiality is a different discussion than the point of mine you quoted. I'll also point out that none of the above questions you posed were in any way related to confidentiality.
You are talking about who is most likely to make the "correct" decision. I am talking about who possesses the right to make the decision. The only person who can possess that right is the person who must consent to the fight. That person can't consent to something they don't know about. It would be wise of that person to consider what doctors have to say while making their decision. But they don't have to. That is their right. Doctors would be wise to consider more questions than the questions I've seen any of them address so far when they are advising the people who have to give or deny consent.