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A large number of gender reassignment surgeries, for example.
1/ Such surgeries are rare everywhere, even in the most woke areas. Dressing up and injecting yourself with various substances is one thing, but few people have what it takes to go all the way.
2/ It is gender affirming surgery, meaning the intended gender was always there deep inside (like statue was always inside the boulder) and just needs some cutting and chopping to come out.
Words like "gender reassignment" or "gender change" are big no no, saying something like this is good way to be cancelled.
You need to keep track, you need to know the latest woke terminology, in your situation you cannot afford such tongue slips ;-)
For some reason, this is one line I feel I cannot cross. I will never ever ever call it this. I currently self-censor with "gender surgery", which fortunately I have yet to get in hay for. And I will willingly adopt a term like "secondary sex characteristic remodeling" or whatever anodyne euphemism progressives want come up with. But if it comes down to saying "gender affirming surgery" I'll just go on unemployment and become a trucker or something.
I don't really know why this is the hill I'm willing to die on, but there it is.
It's like Neocons, rather than calling it "enhanced interrogation techniques", insisted everyone must call torture "patriotic heroism techniques".
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In eastern Europe these happen mostly through private clinics, which have no obligation to share the data with the public. Best I can give you is mommy Facebook groups showing off their kids' mastectomies, but no indication of numbers of affected people.
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