Generally, children don't have gender affirming surgery at all, as there really isn't any need. Mostly, you tend to have puberty blockers at best, something that's relatively benign and reversible, and from what I'm aware its not given out lightly just for shits and giggles. It's life altering, but in a good way generally.

So it took me a fair bit of time to actually read what children's boston rather than just accept what you said as true, minutes of my life I won't get back. Enjoy!

>>The center currently offers vaginoplasty, metoidioplasty, phalloplasty, chest reconstruction, breast augmentation, facial harmonization and other gender affirmation surgeries to eligible patients. We are guided by the World Professional Association for Transgender Health (WPATH) standards and other criteria to surgically treat people who are stable in their gender identity and have documentation of persistent gender dysphoria. You do not need to be a GeMS patient to have surgery at the center. All genital surgeries are only performed on patients age 18 and older.