From a Buddhist point of view, “identities” (such that there even is such a thing) are to be understood and seen through as being evanescent, “empty,” not deeply real, fundamentally delusional. The Diamond Sutra says:
All conditioned things
are like dreams, like illusions,
like bubbles, like shadows,
like dew, like lightning
and all of them should be contemplated in this way.
For an adult to allow, let alone encourage, a child or adolescent to take “puberty suppressants” or undergo surgery based on an “identity” that is “like a dream” is extremely harmful to both the adult and the child. The “doctors” who provide these services are profoundly mistaken. They are playing with the beautiful minds of vulnerable young people whose brains are nowhere near fully developed. Interfering with the natural course of their development while encouraging the mental illness of their parents are deeply wrong actions based on pride and ignorance. I cannot see any way that a Buddhist can support any medical professional doing this. ABN
American Buddhist Net 