One of my kids has had literally dozens of surgical procedures that permanently altered their body, but were not necessary to save their life. Yet because they were orthopedic, no one has ever questioned our decisions, nor our right to make them.
23 bottom surgeries a year and to put puberty blockers and hormones in perspective, the most recommended treatments beyond social transition, is only about ~1200 patients for puberty blockers a year out of ~50k kids seeking gender related care and less than 3000 patients receive hormones
