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Gender affirming care, for minors, is about 2 things.
Helping them figure out what is actually going on.
Stopping difficult or irreversible changes.
The first is exactly what you want. It's helping the children figure out exactly what they feel. It might also involve changing outward appearance (clothing etc) to see how it feels. Basically get their head straight with what they really want and feel.
The second is mostly puberty blockers. Puberty makes irreversible changes to the body. Blocking it doesn't do any harm. It's been used for decades to help with other conditions. When the blockers are removed, puberty proceeds normally. If the patient truly wants to transition, then an artificial puberty can be induced. This is far safer and more effective than surgery to fix things later.
No one is chopping up children.