I don't have the greatest sex drive in the world, but losing it deliberately seems a dramatic thing to do. I would certainly miss sex and orgasms.
I wouldn't, I don't (miss sex and orgasms, having been a widow for a very long time). A fulfilling sex life has always been a low priority for me; finding a partner who loved me truly, and whom I could love, was always in first place. Also:
I would also miss the chance to have children, and iirc this surgery makes one infertile.
This exactly.
At age 5 no one would know the consequences of this path.
At 5 I was -- I can't even remember. But even at 15 I had no idea what I would be or what I wanted and was incapable of making decisions that would tie me on a certain path for the rest of my life. Nobody is capable of such decisions.
And yes, perhaps young people are euphoric when they finally get the body they always wanted. But in my experience, as soon as one strong desire is fulfilled, and the initial euphoria dries up, the next great desire comes in to replace it.
I doubt we are getting the full story on "happy" kids who have transitioned. When they find out, as they inevitably will, that they are not, after all, the opposite sex, and that members of that sex do not accept them as identical -- that's when the depression will really set in.
Warning red lights should be flashing. Instead, it's just a huge come on.
It's Pied Piper syndrome.