There are definite advantages and disadvantages to early interventions. Male-to-female will have a less masculinised appearance. The downsides considerably outweigh that benefit. Most children simply grow out of this if not medicated. That there is a drive to medicalise this confusion reveals the ideological motivations. Would they consider such drastic interventions in any other condition where the majority of cases simply go into remission?

Also, retarding the development of the genitals leaves less material available for making a front hole. This is in addition to a range of life-long health risks and the need to be medicated for life. All this for a majority of patients who would have recovered with little more than therapy needed.