That is a crucial spiritual question in our everyday struggle with temptation of all kinds. Will we take the long view of what leads to long term wholeness for ourselves and those close to us according to the gathered wisdom of our human race or will we choose what we currently crave? It is also a question that is at the heart of current medical and political debates about issues such as transgender surgeries. Should counselors, doctors, psychologists, pastors, etc just serve as hired or volunteer facilitators to help a person get what they currently want, or should they serve the acquired wisdom of humankind in promoting healing and wholeness, personal growth and maturity? This article focuses on that choice as it applies to the issue of gender reassignment surgeries. The article by Ryan T. Anderson is enlightening and gives valuable perspective for this debate. The question raised by this article is much broader than transgender issues. But as regards gender dysphoria, the standpoint of health and wholeness makes a much better starting point for the discussion of transgender than do moral codes. Ethics then enters into the picture as wholeness is defined as a moral good.