Emily's Cat
Rarely prone to hissy-fits
If we did this, then we'd never know whether the endocrine/surgery treatment pathway (GnRHa → CSH → SRS) actually outperforms any other treatment modality, such as watchful waiting with cognitive behavioral aversion therapy. Since I'm in favor of finding out the truth on this matter, I'm in favor of allowing patients and providers to opt in to treatment assuming they are part of a carefully controlled trial.
So... yeah, I'm going to push back on this.
First off, I'm not particularly crazy about the idea of using children in experiments that try to solve a psychological problem with physical interventions that cause bodily harm.
More than that, however, is that some of this we already know. We know from decades of practice that watchful waiting without affirmation has more than 80% success rate - most kids grow out of their dysphoria as they progress through puberty, and go on to live normal healthy lives. We've known this for a very long time.
Additionally, from more recent research by Sweden (I think? Maybe Finland) we also know that the affirmation path (GnRHa → CSH → SRS) does NOT provide long-term mental health benefits, it does NOT reduce suicidality and depression.
I have opinions and speculations.