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Screw thanking aliens, it’s an incredible team of engineers that have the skills and dedication to do what seems impossible. This was 100% humanity at its best.
They rebuilt the most critical core code on a near antique spacecraft that has effectively left the solar system over an equally ancient radio link. They had 1 shot, and nailed it.
In almost all cases the point is to keep things reversible. The problem is puberty. Once the hormone cascades hit, it’s far harder to transition. At the same time, fully transitioning is not something many children are equipped to cope with.
Luckily there is a 3rd option. Puberty can be delayed without permanent issues. This gives the patient and doctors time to figure out what to do long term. If they were confused, they stop the drugs, and puberty happens normally. If they truly want to transition, they are in a far better position to change than if they experienced puberty as the “wrong” gender.
By delaying the changes, it allows time for them to process what they want. It also lets them experience living as the other gender, in a reversible manner.