@pingveno @Beaver It depends, there are few surgeries that are being categorized as gender affirming surgery. Some of these surgeries already being performed on cis gendered youth but the same surgery on a Trans youth makes everyone go crazy. Most gender affirming surgeries are not performed on youth and are uncommon. However sometimes there are very extreme cases when there is a life threat to the youth patient and that is why we insist on leaving gender affirming care to professionals, the individual and their parents and Politicians should never make decisions on medical care since they are not experts.

If my this you mean gender affirming surgical procedures for trans kids, no that's not a thing at all.

However, in rare situations in which an infant has ambiguous genitalia, usually the doctor assigns the infant a gender, sometimes conferring with the parents, and then performs surgery to make them less ambiguous. And yes, sometimes the infant will later, as a child or adult, decide their doctor-assigned gender misrepresents how they feel about themselves. This kind of gender assignment surgery is routine in the United States, and is performed without any question as to its veracity.

A trans person has to be an adult and has to go through RLT (real life training -- it may have a different name now) which is years of dressing, behaving and identifying as their transitional gender before doctors will perform reassignment surgery. I believe in the last decade this period of time has been shortened due to studies, but it is difficult to get reassignment surgery as a young adult and impossible as a child except hypothetically through less than legal means.