Lol yeah the west is so pro LGBT. Just ignore the hundreds of proposed anti-trans bills in the USA, or the mass incarceration/prison violence towards trans people, or the widespread medical gatekeeping, or the fact that being LGBT (especially T) makes you way more likely to be homeless, or how even the supposedly left Labour Party has taken a huge rightward swing under Queer Harmer. If you actually think there’s any hope of freedom for LGBT people in the western world you are a fucking idiot. Go read a book and you might yet be able to pull the worms out of your brain. Rainbow Solidarity in Defense of Cuba by Leslie Feinberg is a great one if you want to see what a country actually trying to improve the lives of LGBT people looks like.

where trans is seen as a mental disease

Until extremely recently that was also the case in the states, as in, before informed consent became a thing I couldn't get HRT without a doctors note saying I'm mentally ill and fuckable enough, and even then it was sterilization first and having to pay out of pocket for tons of shit.

Also Iran post islamic revolution was one of the few places you can get a binary transition- it's still pretty fucked up, but not a death sentence by any measure.

I wish that Russia was less shitty about being trans so I could visit family more safely, it's not been made better by having my identity turned into a cultural wedge issue.