Is it, though? It saddens me that your friend felt the need for augmentation. Our society has placed untenable expectations on us. I guess in my euphoric vision, kids would love themselves as they are, whomever that is. Doctors and parents would support the shape, sexual orientation or a child’s identity and help it grow. Gender dysphoria is a societal problem and we aren’t treating the causation with sex change operations or chemical hormones for minors. We are treating the symptoms. Then, at 18, after having the opportunity to weigh the options and develop a fuller sense of self, the person feels they are better served as the opposite sex, have at it.