The gravy train rolls on. In no other field of medicine are you allowed to provide such damaging treatment with disruption of puberty and lifelong damage to healthy tissue and function without some evidence of effectiveness. Yet, “gender” doctors continue to participate in damaging young people. Is it the diffusion of responsibility, that causes clinicians to suspend their critical faculties? The psychiatrist/psychologist tells the endocrinologist that the child needs this “treatment”, but they are not the ones administering it. The endocrinologist can claim it was the mental health clinician who told him/her it was necessary, as can the surgeon.
From the little evidence that is available, the most effective treatment for childhood gender dysphoria is puberty. Sadly there is no money to be made from it. So children must suffer the consequences of an ideology without foundation, conducted by people without scruples.