Yes, and I'm not interested in following you once the goalposts have moved.
Having limitations does not make a "bad study". Every study has limitations. What you're meant to do is take a breadth of reading, each with its own limitations, but the overall direction of findings giving you a strong indication. What you're not meant to do is what you've done: look at each study individually, find a limitation, then dismiss it entirely and move onto the next, treating each in isolation.
We know that SRS can work. There are countless people who have undergone the procedure and reported significant improvement. It has already cleared the bar we expect most potential treatments to reach.
Then, on an individual basis, the healthcare professional determines if that particular approach is appropriate for the individual. That's what they already currently do with drugs that can work but aren't always right. And it's how healthcare professionals approach SRS.
You're complaining about SRS and other forms of treatment, like HRT, being treated normally. Just as we do for other treatments.