I've spent a fair bit of time engaging with these systems and I feel most of the issues are in the bureaucratic elements of the system, and less the medicalizat

I've spent a fair bit of time engaging with these systems and I feel most of the issues are in the bureaucratic elements of the system, and less the medicalization. We can all pick six sigma events to prove a point, but this just tends to radicalize either side. I'd also contend that you might want to look into the medical aspects of how transgender care for children is done. It's generally conservative with no physical or hormone changes until puberty, and even then, getting puberty blockers requires a number of hoops. Ensuring the child actually has a brain different from their body is a long and arduous process involving a therapist and generally a medical team. When I hear "chop off penises" and "mastectomies", it tends to be generally in emotional appeal fallacies that are originally spread by more sensationalizing talk show hosts. Sexual modification isn't a requirement for transgender individuals (and considered a big risk by some in the community), and I think we risk simply dividing ourselves and winning the the honor of being right at the expense of rigorous, diverse communal dialogue otherwise.