I've just been reading up on Susie Greens daughter, and based upon her account, it certainly seems her daughter was very sure that she of who she was. Based upon what I have read, which really is all I can go on, it does appear that they made the right decision and it appears it was led by the child herself. I think to self mutilate your private areas at an age that gender shouldn't be noted, is highly inductive that she was aware she was "in the wrong body". Would I have allowed surgery at such a young age? I don't think I would, but not being in that situation I can't honestly put my hand on heart on say i wouldn't if it really was apparent that my child was very sure, especially before the hormones of puberty have really set in. What did concern me was more that the nursery rand Susie Green to ask if it was okay that her daughter wear a Snow White outfit. I've got several photos of my youngest dressed in several variants of fairy princesses from nursery, and yet not once did they ask my opinion or permission, nor should they have as it is very natural for a child to explore and like what they like at that moment in time. It's what playing and make believe is all about and part of childhood! I think it's very telling how Susie Greens daughter is a confident and happy person and shows this was the right decision for her individual child, in my opinion.
Now this is very very different to what I have read in that report. The report reads of emotional abuse, based on the mothers dislike of her ex partner. Whilst googling, I came across another story of a 5 year old child where the mother is adamant he want to be a she, but the father suggests differently based upon how the child is in other places other than the mothers home. Apparently in this case, the mother started dressing the child as a she from 2 1/2. Again, this is all based upon media findings so I can't be aware of the full stories, but these cases are seemingly where the child is confused but is being led by the parents decisions and therefore drastic measures of name changing, hormone blockers, surgery etc etc needs to be held off or indeed dealt with in the smallest of steps to enable the child to grow into who THEY want to be , with the right support for them to do so.