“I am dumbfounded and absolutely shocked that these crimes were committed against children in the United States. There is no 13 year old girl who can make the decision to permanently have her breasts removed. The chance of regret is simply too high. Children who suffer from gender dysphoric disorder should receive support, counselling, and treatment for associated conditions, such as depression and anxiety. Children who are certain they wish to undergo these procedures can begin the process of researching and investigating their options prior to adulthood, but should not be allowed to make the decision to proceed until they reach the age of adult consent. They should not receive permanent, irreversible surgeries as children. Surgical options exist for adults who suffer from gender dysphoric disorder, but a child cannot possibly be expected to make a decision of this gravity, especially as young as 13.”