so social affirmationgo at any age puberty blockers during puberty and hormone therapy starting during earlypy adolescence irreversibleve surgery is quote typically used in adulthood or case by case in a case by case basisas in adolescence. okay, this is according to hhss . a case you know what i think what is a case by case basis? on what basis are theseis exceptions made for the adolescents to get the surgery? and i m going to guess it s a totality of circumstances test meaning the language is vague enough to allow for gender reassignment surgery on demand regardlessnt of the ae now passed across america are shocked at the breakneck speed that basic truths institutions are coming under assault the united states we re talking about what s happening at the court t tonight when they se a biological boy playing women or girls in a sport.sp most parents are horrified.