First, I think it’s important to draw a distinction between the practice of genital mutilation - a practice that is alive and well in various cultures and maims significant numbers of kids every year in the name of religious superstition - from sex change operations.

Regardless of what you think about the appropriate age for such a decision, reducing this to “genital mutilation” trivializes the issue and tries to draw a comparison with a barbaric practice despite there being no connection between the two.

Almost all forms of surgery would appear barbaric on the surface if not for the significant utility of undergoing those surgeries. That doesn’t mean we should equate cutting someone open and removing their appendix with a ritualistic religious practice that appears similar at face value.

That said, I made no claims about the appropriateness of these surgeries for minors, nor do I believe someone at that age is mature enough to understand the implications of such.

That doesn’t change anything that I wrote though, even if it’s an important factor to consider for a subset of potential patients.