There are gay people who do not suffer from gender dysphoria because they are their assigned gender at birth, they simply like people of the same gender. There are asexuals, aromatics, demisexuals, and demiromantics who do not suffer from gender dysphoria because they are not trans, they just have less sexual or romantic desires than the average person. Either way, gender dysphoria can make kids want to kill themselves, so if the options are this child dying or them getting gender-affirming medical care, anybody can see that gender-affirming care is the best option. And suppose it turns out that the kid was faking it for attention, or was just confused. In that case, there is a very high chance that it will be discovered long before any surgery happens because there are a lot of tests that good doctors will provide to confirm that someone is trans before anything permanent can happen.
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