Doing intake with the client and their family and following the entire case from beginning to the end.... I didn't use the word 'expert', which actually does apply here. She didn't say, but sounds like she saw hundreds of cases. If out of two hundred cases she could have reasonably managed (taking a conservative guess - she saw intake calls rise from 10 to 70 per month) a dozen ended badly, would be six percent. That's a large number and numbers don't fully convey suffering of each individual.

It should raise red flags that only a couple of doctors are involved in approving surgery and hormones with life altering consequences, including loss of fertility for woman, and a lifetime of health problems for many, due to the powerful systematic effects of the medicines involved.

Letting kids pull the trigger on these procedures... I don't think you read the article. You don't think anything odd about groups of girls from the same high school suddenly coming in and saying we're actually boys. In my opinion, hormones and surgery don't make them boys any more than plastic surgery made Michael Jackson look white or Mary Tyler Moore look young.

Historically, most people who wanted to be the other or both sexes, just dressed and acted and lived the part.