Everyone should see that documentary linked to above. The stories of the two detransitioned women (they have returned to seeing themselves as women) are heartbreaking.
At least one woman (Sametti) said she’d had surgery ‘down there’ (hysterectomy?) and had her breasts removed. Her voice is forever changed. They blame themselves for letting it happen. That is the worst thing about it. The regret and self-blame. This is why we don’t let children and young people ‘choose’ to have unnecessary surgery in any other context. It is absolute madness that we do so in this context. Nor should it be available on parents’ consent.
Sweden seems to be planning on 12 being the legal age for surgery with parents consent and 15 without parents consent. It’s absolutely abusive.
It’s good to look for research (and FFS, you know it’s a really bad problem when it’s the ethicists calling on doctors to look at what they are already doing ) and these are all good questions to ask, evidence gathering is necessary. But in other settings you would say: let’s pause on doing this nationally (so at least not offer the thing in question to any new patients coming in) until we know more. Why is this not being done?
We have the British Medical Association ethics committee and they should look at this. It’s being offered as an unevidenced treatment which is massively disproportionate when the benefits are unknown but the costs are so apparent- though with research into detransitioned people’s experiences more properly done (unlike James Caspian’s work and Bath spa university 
) then no doubt further harm will be uncovered. What services are being developed to support these young people?
It’s important to know that ethicists are only the gatekeepers before research goes ahead. I.e. they are mandatory to get involved and they can refuse permission for the research to happen before the research starts.
The real scandal is that none of this experimental stuff is being done as research. It’s just being presented as the established treatment for a problem. Doctors are just offering it, patients are just accepting it because why would they not, they want to feel better- and then doctors are not following up patients up with research to see how they get on. It’s only after the fact that the ethicists are asking doctors to think about what they are doing. It is good that doctors have a certain amount of latitude to innovate but good medical practice doesn’t develop healthily in a political environment where there is punishment (from TRAs) for deviating from a political goal. Doctors are culpable but it’s years and years of effective, well funded political advocacy that has brought us to this point. And the patients will have to live with this for the rest of their lives, happy or not happy.