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I don't know what the answers are!
A lot of this stuff is mostly at the state level which seems almost reasonable.
I imagine the big actual fight on this would come down to when are parents able to over-ride their kids wishes and vice versa. It's a shitty battle for trans kids; if you don't let them access medicine early, it puts them on a brutal path as you pointed out. But I also can't imagine conservatives would be chill letting their kids alter their sex at such a young age. (From the parents' perspective, what if this is just some teenage drama with lifelong repercussions?)
We don't let kids get tattoos (and thank Christ for that, otherwise I'd probably have Wolverine fighting the Zerg on my chest or something) this seems bigger.
I dunno, like most real world issues, it's tricky. And at the fun intersection of children and a rapidly changing perspective of gender, well damn, there are going to be some ugly fights.
I just don't think it's as much of a random fad for kids as conservatives worry.
the analogy of "oh i want a cool new weird haircut/strange tattoo" = same as getting hormones and genital altering surgery seems incorrect to me
kids are not that stupid at that age and gender is mostly hardwired. i just don't think kids of that age would take it trivially
many trans kids exhibit extreme opposite gender behavior from very early ages. I am not talking about boys liking pink or not liking trucks, i am talking about boys crying because they can't wear dresses and hating the male parts of their body. There is something that happens to some XY or XX brains in utero that causes the default brain wiring that causes certain behavior to be the opposite of what it normally is. This shouldn't be that unfathomable. There are animals that contain DNA from before certain evolutions (like tailless animals having tail DNA) and it's just turned off. The idea that epigenetics, prenatal hormone levels, and endocrine disruptors can't alter sexual identity development isn't really supported by data, and even though the exact way transgenderism occurs isn't fully understood, it's not caused by some evil Satanic vodoo or a liberal Hollywood plot.
The only reason why this isn't accepted as true is an anti-science mentality caused by religion, and your response is biased by religion or conformity whether you realize it or not.