the child takes a name and assumes their new sex, the “new sex” that the child has been coerced into believing they are supposed to accept.And that is how it is done
Before hormone blockers the child takes a name and assumes their new sex
If they are successful, then puberty blockers and eventual hormone therapy.
Genital surgery is extremely rare on minors
No amount of mutilating surgeries or dangerous drugs will provide a “ new sex”.