Globally, the mainstream of treatment for transgender people adopts the affirmative approach. Simply speaking, to transgender children (including those who feel anxious about their own genders), this approach holds an affirmative attitude toward their feelings; at the same time, to prevent these children from hurting themselves or even committing suicides, it gives them puberty blockers and hormone medicines as soon as it can.
However, the causes of gender dysphoria are complicated and the syndromes may stop developing till those children become adults. Also, gender reassignment treatment may not cure every patient’s gender dysphoria.
After the affirmative approach was adopted, the number of patients of gender dysphoria increased rapidly. The underage people received their gender reassignment treatment without a proper evaluation. The number of people who stopped their transitions (aka detrans) were growing. However, the effects produced by gender reassignment treatment are irreversible and permanent.