It's absolutely child abuse. Mo, if adults want to transition,that's there choice but I don't believe any child has the capacity to fully assess the impact of hormone blockers, surgery etc. It's driven by parents.
If a child says the want to transition,the name changes or clothing etc. doesn't matter but anything that is a permanent physical change should be left until they have capacity to fully form consent as an adult.
I was a very tomboy like child, I had no older sisters or cousins, spent most of my childhood surrounded by boys and playing football. My periods started at 10 and very noticable breasts appeared overnight. I didn't want to wear a bra, didn't want hair growing anywhere new, I detested periods - I have endometriosis which really didn't help. I wanted to be a boy, it seemed easier and less hassle. I would fit in better. I never thought I was a boy, never wanted a penis. I just wanted puberty to stop as it happened so much earlier than most.
Thank God, I had sane parents who understand it was just an aversion to puberty and a desire to fit in, otherwise I would have been cared off to Tavistock (probably didn't exist in the 90s), been pumped full of hormones and recommended for surgery.
I'm not denying that there are real transgender cases. I think there absolutely are & it must be very difficult but it's a very important, life changing decision and not one that should be made by minors or on behalf of minors. Surely medical ethics should not allow this to happen.