It is not easy for an individual to accept suffering from this particular syndrome. In society it is often, despite that the opposite is claimed, not accepted being disabled. People with disabilities are often treated as "second rate" individuals and to actually want to become an amputee/disabled is totally incomprehensible and unacceptable to most.
You feel guilty being who you are!
I have been in the situation of trying to get rid of my feelings and many wannabes will stay in this stage of denial their entire life, not being able to accept their own feelings. Some even state they would rather die than come forward. I have accepted that I am a wannabe and it really feels a whole lot better than constantly trying to deny it.
To actually come forward means breaking strong taboos. You cannot expect to be felt sorry for. Rather you will be called crazy, insane, perverted, be accused and treated as an absolute freak. This is really sad. I have only told one of my closest friends and the fact that he did not reject me is reassuring. I am not, however, yet prepared to take on a world of intolerance.
Some wannabes think publicity should be avoided at all cost since they believe that it will eliminate the possibility of having elective amputation performed. Others (like me) want to educate.
What is worse? To spend your life in hiding feeling guilty or to step forward and be condemned? It is choosing between two bad things.