The vast, vast majority of gender affirming care for children is social transition, then maybe puberty blockers, then maybe hormones. SRS is exceedingly rare fo

The vast, vast majority of gender affirming care for children is social transition, then maybe puberty blockers, then maybe hormones. SRS is exceedingly rare for under-18s and the massive focus you are putting on it suggests to me that your sources are extremely biased or outright disingenuous. Again look to WPATH, where absolutely no medical intervention whatsoeveris suggested for prepubescent children (S69). Practically all of your questions have answers either in WPATH SoC or have been heavily discussed in the transgender community or in the medical community. It would be worth your time to see those perspectives.