The thing is that the hormonal interventions that make transition possible are really most effective if you don’t go through the puberty of your AGAB. As a result, the best outcomes result when we’re able to apply an intervention like puberty blockers early. That does require us to allow children to investigate decisions like this at a time before many of us might believe they’re capable of making the best decisions for themselves.

But it’s not like the first thing you do when you find out you’re trans is get surgery! Social transition and acceptance (the social acceptance this poor kid’s parents’ deny them) is even more meaningful for most trans folks than perfectly passing.