This statement is actually a bit misleading out of context, my view is that children should refrain from gender-reassignment surgery until they're over the age of 18 and are sure of their choice. From personal experience, I went on hormone therapy when I was 16, I am now 18 and have zero regrets, though if I found that I did have any regrets, something as permanent as gender-reassignment surgery is much more difficult to come back from if you find that it's not for you. So, if one has been on hormone therapy for an extended period of time, and had lived as the gender they identified as, reassignment surgery is a highly valid option to fully transition if that's what the individual desires.
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