I think the doctor's judgement is the best we can have in any case.
The doctor’s judgment alone is absolutely not the best we can have. If you’d study the history of medicalization and pathologization of trans health (and indeed other health areas that were medicalized around the same time like fatness, neurodivergence, mental disorders etc.) you would know that the bulk of this history operated under the presumption of “doctor knows best” to absolutely horrible outcomes and unnecessary suffering and suicide. We have arrived at the present prognosis of gender affirming care precisely because of the disastrous track record of the 70s, 80s, 90s and 00s.
If doctors want to be a part of transition care - and I think having the guidance and advice of medical expertise and diagnostics is a self-evident boon, then that requires physicians recognize that their role in this is to advise and collaborate with their patient to arrive at a satisfactory outcome for the patient, not to dictate terms and gatekeep treatment. Doing so will only bring us back to the bad old days (or current situation in the case of the UK) of large amounts of diy (a recent study in the uk found that 40% of trans patients in London intake appoints were already self-medicating when they arrived) and a profound distrust of medical professionals leading to lying and avoiding physicians, and skewing, distorting or problematizing efforts by clinicians to advance research in trans health. Even today, “doctors are useless and serve only to humiliate me and make my life more difficult,” is still a very common (and often quite well-founded) belief within trans circles
Cis or not - if your 10-year old wants medical treatment like proposed in this example, you are going to have to make a judgement call, I know of no legislation anywhere that allows them to make their own decisions in that regard.
That is of course where the debate starts.
In the example, it's presented as an aesthetic issue.
Like, um, braces.
We would let a ten year old get treatments that affect aesthetics.
The actual conversation is way more complicated than aesthetics, obviously, and the research is both very hard and underfunded.
It’s not an aesthetic issue. A cis person experiencing the cross-gender puberty would experience severe gender dysphoria in the same way we do when we experience the wrong puberty. If crooked teeth were consistently shown to cause acute distress leading to depression, anxiety, self-harm, and suicide then you might have a point. Otherwise please don’t liken gender dysphoria to braces. You’re running afoul of step-6 in the article I linked.
Perhaps if you only want to discuss this with non-cis folks, you would be better off elsewhere?
It’s not a matter of not wanting to discuss with cis people, but rather a matter of cis people listening to us and taking our perspectives seriously when we’re talking about something *you* cannot know. The trauma I experienced as a child was not “wobbles” and it’s insulting to hear it callously dismissed as such.
This is of course, the whole point of gender affirming care. You meet the patient at the place that they are, tailoring your recommendations to their stated needs and goals. A child who “wobbles” is allowed to wobble. A child who wants to explore gender non-conforming presentation is given space to explore that presentation. A child who maintains their identified gender consistently, insistently, and persistently is given medication to pause their puberty until they are old enough to be prescribed HRT. “Wobblers” are not being prescribed medication, in the same way that (now, thankfully) secure trans kids are getting the interventions they need and not being subjected to bespoke, direct transphobia by medical professionals.
Recent studies have shown that the lion’s share of children (97.5%) who identify as trans at 8 still identified as trans 5 years later. The children who seek medical transition are not “wobbling.” They know who they are- in many cases have known for some time, and are seeking treatment to avoid irreparable damage to their future lives.