Young people, still seeking an answer to questions of who or what they are and what they want to be are being exploited. Parents with some twisted ideas of sexuality and doctors getting their income from hormone therapies and sex change surgeries encourage them to take irreversible decisions. The consequences remain with them the rest of their lives.

Less than a year after having gender surgery, Nathaniel now says, "This whole thing was a bad idea. I am 19 years old, and I feel as though I have ruined my life."

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