I have children. Even if one presented themself at an early age to be gay/lesbian, (and we all have seen the effeminate boys and tom girls at very young age, and knew they were going to grow up to be gay) I would never think of starting that child through any type of physical modification or begin conversations that would have them thinking about or considering altering their physical body to look like the opposite sex.
The one narrative says "Gender Affirming Care" (GAC). On the surface, that gives warm, fuzzy, nurturing feelings. But deep under the covers are the hidden truths of what that care means.
Most of us on this board have had the experience of sexual intimacy with a partner they either love deeply or connect in other meaningful ways. However, that type of intimacy requires fully functioning, biologically originally equipped, body parts. GAC for a child, who has never experienced the full pleasure of sex as their body was designed, is the abuse and the tragedy.
This is the part of GAC that is completely removed from the narrative. GAC does not guarantee sexual gratification as our bodies were designed. The risks of never having an orgasm are legitimate. The after care needed, especially for trans-women who go full on transitioning, is more than just hormones.
Look up Jazz, the young boy who started transitioning way too young. Because of the hormone blockers, puberty was suppressed, the penis didn't enlarge. When the doctors went to shape a vagina, they had very little material to use. Jazz's mother was on TV stating how she has to remind and almost force Jazz to dilate the vagina or it will close up! And dilation, isn't just for young transitions, adults must do the same or face the same consequence. Jazz has gained significant weight, and doesn't appear to be in good physical or mental state. And what is worse, unless Jazz was able to masterbate to orgasm (which I don't know) the assumption is that Jazz may never know what a real orgasm feels like. That's abuse.
For thousands of year men and women have been gay. Why, it doesn't matter. Let people have sex with whatever gender they want. But for thousands of years, those men and women lived sexually fulfilling lives with the right partners. However, modern medicine is now creating this realm of capability that is being confused with necessity.
I argue that because modern medicine can, doesn't mean we should.