The only real concern is with children who transition early - it's unclear to what extent they can consent, and just how much counseling can affect their decision beyond what they genuinely feel (bearing in mind past examples, such as therapists implanting false memories of abuse in children during the Satanic Panic). Pushing someone into puberty blockers etc when they don't actually have gender dysphoria is also causing significant suffering for them later in life. Safeguards shouldn't preclude those who need therapy and surgery from having access to it, but we don't need more of this kind of thing: https://en.wikipedia.org/wiki/NHS_Gender_Identity_Developmen...