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One of the most anxiety provoking situations for young gender dysphoric children or teens is using a public restroom, especially if there are other children or adults present. Even after sex reassignment surgery, these kids are at increased risk of genital cancer caused by HPV due to the nature of the post-operative tissue exposed. The reality is that young trans girls often associate the word "transsexual" with television documentaries featuring strange balding middle-aged men, married, with children, who at the end of the program still look, sound and behave like men wearing wigs, dresses and too much make-up to their very discriminating eyes and standards. However there still remains considerable reluctance by the medical profession to supportively treat a physically normal boy with gender-identity problems - a boy who's adamantly insistent that he's really a girl. They too may be bullied or targeted for social ostracism because of their relationship to their gender atypical sibling. But this fact is understandably not publicized by the surgeons or their patients. But if I was, I would love to sit them down and let them have it. If you honestly do not believe that your child can or should socially transition in your own household, because of other unaccepting family or community issues, consider other options such as other family members who can and would take your child in, e.
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