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Jazz Jennings, renown trans patient, reality TV star, and activist was born on Oct 6, 2000. Note the date of "bottom surgery":

"In an interview published in the April 11, 2018, issue of People, Jennings said that, per her surgeons' instructions, she had lost at least 30 pounds (14 kg) in order to have gender reassignment surgery, which was scheduled for June 20, 2018.[48] The surgery was successful,[49] but was followed by complications that required another procedure.[50] The surgery was performed by Dr. Jess Ting and Dr. Marci Bowers."

She was not yet 18 when the above genital surgery was performed by among others, Dr. Marci Bowers. I know that time and again, despite her celebrity, activists and doctors would say no genital surgeries ever performed in someone under 18, despite Jazz's famously documented surgery and tribulations.

https://en.wikipedia.org/wiki/Jazz_Jennings

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