When I was a child back in the 80's and a teen in the 90's it was not a popular thing for 15 year olds to get body piercings and tattoos. These days they're getting them as young as 13.
But gender "reassignment" is literal child abuse that is being promoted by pedophiles and child abusers. I mentioned back in the early 2010's that some day it'll be "normal" and accepted to abuse children.