The answer
Several U.S. medical associations adopted affirmative-care policies. But many of those positions were written before the newer systematic reviews and were not themselves systematic evidence reviews.
Health authorities in a growing number of countries examined the same literature and moved toward comprehensive assessment, psychosocial care first, and much tighter limits on hormones and surgery for minors. The evidence does not establish that psychological outcomes outweigh the physical harm of suppressing, redirecting, or removing healthy development.