Perhaps that's the perception in Russia as a result of their domestic political propaganda (or, to be fair, misinformation spread by certain political interests

Perhaps that's the perception in Russia as a result of their domestic political propaganda (or, to be fair, misinformation spread by certain political interests in the U.S. itself which, I'm sure, is amplified in Russia). But there is no epidemic of child sex-organ mutilation in the United States. Assuming you're talking about treatment of trans youth, this is generally limited to puberty blockers in children, and that is not done until adolescence. (Potentially proceeding to cross-sex hormone therapy.) Edit: This is obvious, but still worth mentioning: to say that the U.S. will "mutilate their sex organs" is obviously a tendentious framing, to say the least, on multiple levels. Ignoring the issues with the word "mutilate," it's also false the the U.S., as a country would be the one doing it. Rather, the U.S. would allow someone to receive gender affirming treatment if they wanted it. (Which, again, is also very unlikely to involve surgery in the case of a minor.)