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Tbh, I think that irreversible sex change surgeries shouldn't be allowed until the age of 18 (circumcision included). There's a reason that we don't let children do a lot of things, and that's because their brain isn't developed enough to make informed decisions.
There are a lot of things that I personally thought were a good idea in my teens that I definitely wouldn't in my mid 30s, and I'm sure that's true for most people.
I’d like to know the stats for how many people under 18 are having actual sex change procedures.
I always assumed the care what we’re receiving at that age was things like hormone therapy, or something that could easily be reversed later.
You are correct, it is only reversible care. Nobody gets a sex change under 18 in the US due to minor status consent and permanent procedures like that. Unfortunately you will find it hard to prove something that doesn't happen, happened. That's why they choose this route so they can claim that they are making sure kids aren't getting sex changes by getting the medical/therapy records for anyone Trans.
The problem is that it's just so they get their info to persecute them, which even if this gets stopped in court it keeps Trans people from seeking professional care due to completely legitimate fears of future breaches. They win whether they get the records or not.
It happens, but it's limited to mastectomies.
There is also the argument that messing with hormones during puberty is probably not a great idea.