I have significant concerns when the "default" response to these questions leads to powerful drugs taken during puberty,

That's not the default, very few children who went through GIDS got access to meds. The majority got no meds.

> or irreversible surgeries before one reaches adulthood.

Does not happen in England.

It's okay to have concerns, but you should make more of an effort to base those on what actually happens rather than on disinformation being spread by anti-trans organisations.