Do you think a prepubescent child should be allowed to take drugs to facilitate transition?
Prior to puberty a child would not take drugs to transition. Currently the recommended treatment is to affirm the identity, and encourage social transition and gender exploration. Subsequently, puberty blockers are prescribed at puberty onset if the child has been consistent, insistent, and persistent in their gender identity. But by definition that wouldn’t be “pre-pubescent” but rather at the onset of pubescence.
If the question is whether I approve of the use of puberty blockers in transition, my answer is broadly yes. I think avoiding the trauma of experiencing wrong puberty is generally a good thing. However in my perfect world I would prefer puberty blockers instead be used only in the case of children who are explicitly unsure a) of their identity or b) of their overall transition goals. (Do note: these are not necessarily the same thing)
In my estimation, the use of blockers is a compromise measure to assuage the feelings of cis people who still devalue us and our identities. Given what data we have regarding the persistence of trans identification from youth to adulthood, blockers seem to me unnecessary, exposing the child not only to the potential medical side effects of taking them over a long period of time, but also the social harm of watching your peers experience puberty and the social, physical, emotional, and mental development that entails, while you are stuck waiting for the sensibilities of cis people to be sufficiently salved before finally being permitted to move forward in your life as everyone else already has.
I would much rather the primary course of treatment be to get the child on cross-sex hormones at puberty onset, with blockers for post-puberty onset children who are unsure or are pending evaluation (an evaluation measured in months rather than the years it is currently).
Do you think minor should be allowed with going on gender reassignment surgery?
Yes, though, perhaps with a higher threshold for approval or a longer evaluation period than exists for adults. I don’t see the harm in allowing a Kim Petras - someone who first presented as trans at the age of 2 or 3, who has been living as a girl for the entire period since then, has been on hormones for multiple years, and has never wavered in her identity through that period - to receive GCS at 16 or 17 rather than being made to wait till 18.
Do you think parents have a say on allowing such life, physical changing treatments?
I think they should have a say, but I don’t think they should have the only say. Generally we as a society acknowledge morally (even if not always so well legally or institutionally) that children do have rights, and that parents are not allowed to engage in behavior that is substantially harmful to their child - that they ought not physically torture their child, or intentionally deprive them of food or shelter, or sexually abuse them, for instance.
If a child was diabetic, and the parent has the ability or means to provide the child with insulin and denies them access to that life saving drug on moral or religious grounds, should the parent be allowed to do so? Should they be held accountable when their child dies as a result? If the child files claim or a family member does so on their behalf, to be rehoused with someone who will be able to get them the life saving care they need, how should the law treat such a matter? Does the child not have a right to preserve their own life? Does the parent not have a moral or legal obligation to ensure the well-being of their child?