This is a fascinating thread which touches on several posts I and others have made on the subject of the medicalization of GID/gender dysphoria. Read all the comments if you have time; there is some interesting nuance. The big question that arises for me after reading all the comments is: 

Given how extreme surgery and hormones are as a treatment–a lifelong, highly invasive treatment–why aren’t they seen as the very last resort? 

This is where the gender thing has gone completely off the rails. Kids and teens who profess gender dysphoria aren’t encouraged to at least explore ways that are less extreme than hormones and surgery to cope. They are now celebrated for their announcement, and the trend now is to make surgery and hormones much more accessible, to younger and younger people. “Informed consent” is replacing the WPATH standards, which many trans activists now deride as “gatekeeping” because of the requirement to seek therapy, receive a letter from a therapist confirming GID, and other requirements that encourage taking the process of “transition” slowly and carefully.