Conservatives don’t get (refuse to get) that puberty blockers are the compromise on their behalf. The medically appropriate treatment is HRT for kids that have hit puberty and want HRT. Which yes, does have permanent effects… as does going through natal puberty.

Keeping someone on blockers until 18 simply isn’t medically appropriate, and there isn’t a course you can take where nothing happens. The only other option is forced natal puberty, which I can assure you from personal experience is a type of mental torture that leaves permanent scars and which I almost didn’t survive.