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Children getting sex changed?

"The report details 97 girls and boys treated between 1998 and 2010; the youngest was 4 years old. Kids that young and their families get psychological counseling and are monitored until the first signs of puberty emerge, usually around age 11 or 12. Then children are given puberty-blocking drugs, in monthly $1,000 injections or implants imbedded in the arm."
cbsnews.com Thoughts?
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Can't speak to other nations but I know here for a minor to be considered for transition it usually is only in extreme cases were gender dysphoria is resulting in suicidal ideation or such. Usually for minors the approach is social transitioning like name changes, changing of clothing, stuff like that. Further treatment in more extreme cases. And 97 cases over more than a decade even by this post is very small numbers. At least that is my understanding based on what I have read. I have a friend I could inquire more about it I suppose. But it is definitely something conservatives overblow. Heck in 2015 in Canada there were only 2 docs who were even qualified to do reassignment surgery on anyone so waits were longer.