John Hopkins Hospital was one of the leading hospitals in the USA for sex reassignment surgery, and they discontinued the procedure, and have moved to realizing that the condition is a disorder, and not something needed to fix anyone.
What is criminal are parents embracing the notion their child is physically possessed with the wrong body parts and gender, and begin a course of hormone therapy. It is without question abuse. This is where stinking lawyers have destroyed logic and what is right.
There are two sexes, two genders, not 74.