But I just cannot get on board hormone therapy for kids under 18 because for a brief moment in time the feel uncomfortable in their bodies. I agree it's a complex issue but I think there are any number of reasons for a young person to feel uncomfortable without drastic medical treatment that will fundamentally alter their bodies. It's a mental health issue first and should be treated as such. Hormone therapy or surgery altering ones plumbing should be done last after all other options exhausted. I'd be curious to see what the numbers are for transgender people and addiction and/ or suicide.