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You're failing the intellectual turing test. They see themselves as saving children who were born trans. It isn't obviously mutilation if the child is born trans and the diagnosis is accurate. Thus the phrase "coming for the children" has a relatively innocent interpretation here.
On the other hand, nobody has yet performed a randomized controlled trial on outcomes for different treatments for (or diagnostics of) trans children. (I looked very hard for papers on this last year. The only RCTs are on adults, and in non-RCTs measuring suicide rates in teenagers the effect sizes for surgery and for social transition were about the same. A trans rights activist I was conversing with argued that to perform an RCT would be unethical.)
It's mutilation even if those concepts exist in the real world and the child fits them, because we do not have a sex change operation which is not mutilation.
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