GRS

— While medical association recommends gender affirmation surgery (and by that I mean things like top surgery or shit live tracheal shave) to be open to 16+, and very very rarely it is done on 16+ if the person is considered at high risk of suicide and if the surgery would alleviate that, no GRS surgeries are done on teen, even less kids.

— These considerations are often missed by policymakers who set genital reconstructive surgery as a requirement for changing the gender marker on an identity document. GRS generally removes the ability to reproduce via conventional intercourse, and its exclusion of GRS from most employer health insurance coverage renders it unaffordable for many.