My understanding of the gender affirming care, treatment, and drugs for minors is as follows. It’s turned out that hormone therapy has not been that effective for changing adults from one sex to the other. So somebody got the idea that maybe it would be effective if it was begun before puberty. Hence, the idea that kids need to be transitioned with drugs before puberty is complete. There has been no evidence to support these drugs working in kids. It’s all one giant experiment.