Affirmation only as a medical approach is so dangerous. They say that not doing that harms mental health, how much mental health is being harmed by forcing extended childhood on people, denying their bodies and brains the growth of puberty and ultimately causing infertility.
In a few years there will be lawsuits against all these doctors who complied with children's wishes without assessment. I guess really it is not the child's fault. It is the people who are failing to safe guard them and in many instances go behind the parent's back...doctors, teachers, psychologists etc. Concerned parents are painted as villains.
As I said prior... A GROWN WOMAN who wants her tubes tied often has to go through counselling and gets pushback, and in some sexist cases is asked for her "husband's permission" because of the consequences.
Yet a child can stop puberty and go into early menopause, bind her breast, get surgery, without assessment. It is insane.