...as shown to you already, the percentage of people in the U.S. seeking such treatment...after years of counseling...is incredibly small...and the medical protocol is to treat only adults...also, the satisfaction level is in the range of 94-100%...and finally, the rate of suicide ideation and attempts among those dealing with Gender Dysphoria is quite high, perhaps as high as 60% according to some studies...and too many of are successful...in part, thanks to folks who refuse to appreciate the unique stress they are under.
But then, in your substance enhanced world, who needs to take a sober minded assessment of a potentially fatal infirmity, when you could just chill and make stuff up.