> the very small number of teens that do go on puberty blockers or have surgery do so after informed conversations with doctors and therapists.

Those 'informed conversations' with 'doctors and therapists' which the 'very small number of teens' have are neither informed nor based on anything resembling proven efficacy of the proposed treatment regimes. The recent leak of the WPATH files [1] reveals that its members know they are creating victims and not getting “informed consent.”. For those who have not heard of WPATH (the World Professional Association for Transgender Health), the American Medical Association, The Endocrine Society, the American Academy of Paediatrics and thousands of doctors worldwide rely on them. It is considered the leading global authority on “gender medicine.”

If you don't want to read the whole thing - which I, again, think you should do given your position on this subject - here's some relevant quotes (taken from 'WPATH Excerpts', [2]):

- Patients with dissociative identity disorder are regarded as having the capacity to consent to hormones

- So are patients with severe mental health issues

- Mentally ill and homeless people are regarded as suitable for referring for genital surgery

- There is a lack of concern regarding young people regretting sacrificing their fertility

- Concerning whether is it reasonable to expect children and young adolescents to grasp the effects of “gender-affirming care:” “[It is] out of their developmental range to understand the extent to which some of these medical interventions are impacting them. They’ll say they understand, but then they’ll say something else that makes you think "oh, they didn’t really understand that they are going to have facial hair.” and We’re often explaining these sorts of things to people who haven’t even had biology in high school yet.”

- On the complexity of discussing fertility preservation with children and adolescents during an internal panel discussion: “It’s always a good theory that you talk about fertility preservation with a 14-year old, but I know I’m talking to a blank wall. They’d be like, ew, kids, babies, gross and Most of the kids are nowhere in any kind of a brain space to really talk about [fertility preservation] in a serious way.”

- “acknowledgment that de-transition exists even to a minor extent is considered off limits for many in our community,” - WPATH President Marci Bowers

- “What is problematic is the idea of detransitioning, as it frames being 'cisgender' as the default and reinforces 'transness' as a pathology." - 'Researcher'

- Serious side effects and common post-surgical complications due to hormone treatments, e.g. [16-year-old female patient] found to have two liver masses (hepatic adenomas) - 11x11cm and 7x7cm - and the oncologist and surgeon both have indicated that the likely offending agent(s) are the hormones and “I have one transition friend/collegue [sic] who, after about 8-10 years of [testosterone] developped [sic] hepatocarcinoma. To the best of my knowledge, it was linked to his hormone treatment… it was so advanced that he opted for palliative care and died a couple of months later.”

- Poor outcomes are accepted as a fact of life

This is only the tip of a large iceberg which has now surfaced. Add to that that one of the more common justifications for subjecting adolescents to 'gemder-affirming surgery' is the fact that this is supposed to lower their risk for developing suicidal ideation (or would you rather have a living son or a dead daughter?) while it has become clear that these treatments have the opposite effect - Individuals who underwent 'gender-affirming surgery' had a 12-fold higher suicide attempt risk than those who did not [3] - and it becomes all the more clear that 'gender-affirming treatment' is a form of medical malpractice. Notice also that those countries which used to be in the forefront largely ceased these treatments due to the lack of evidence of efficacy, the growing amount of evidence with regard to the damage done by these practices and the lack of any solid (scientific) basis for these treatments.

[1] https://public.substack.com/p/the-wpath-files

[2] https://public.substack.com/api/v1/file/6c2e5e89-e506-4da6-a...

[3] https://www.cureus.com/articles/201512-risk-of-suicide-and-s...