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Notes -
There are here too. Maybe it would be more appropriate to refer to the entire grooming scenario as sexual abuse rather than just the surgery itself in isolation. That is, you have some sort of "therapist" who thinks that being trans is wonderful and good and better than being cis, which is a bias and agenda motivating their reasoning. Even if not strictly sexual in desire, they have ulterior motives of pushing the trans agenda. They then convince kids with mental illnesses or other social problems that the cause of their problem is being in the wrong body, push them down the trans chain, which ends in surgery. I would argue that this entire process is sexual abuse more than the surgery alone at the end of the line. And this is opportunists taking advantage of children given the opportunity, even if their motive is money and/or personal fulfillment and pride.
None of this is accidental. Nobody is accidentally chopping off genitals. I agree that we can't take a purely consequentialist perspective completely devoid of intent, but the intent is to cause harm "for the greater good" rather than the harm being accidental. Purposely injuring a penis during sex is sexual abuse. I would argue that deliberately giving someone an STD, not just negligent sex while infected but deliberately acting with the intention to maximize the chance of giving it to them, is also a form of sexual abuse. Even if it doesn't meet some strict set of criteria that you might use to define the term, it's something comparably bad such that mislabeling it sexual abuse isn't carrying any false connotations.
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