Around the age of 10, if these kids’ gender identities remain consistent, they are often placed on puberty blockers, which delay the arrival of puberty. (Puberty blockers were first developed for cis children, and they have been used for early-onset or what is called “precocious puberty” since the 1980s, gaining approval from the Food and Drug Administration in 1993.)
It’s only after all of this that hormones that will trigger the changes the body goes through in puberty even begin to be considered. These hormones are not prescribed until well into adolescence, usually around the age of 16, long after most of the trans kid’s cis peers began puberty, though WPATH’s more recent guidelines suggest beginning hormonal transition earlier may be beneficial for some teens. Surgical interventions rarely happen before the age of 18, and the most common surgical procedure teens might undergo is “top surgery,” in which a transmasculine person undergoes a mastectomy.
Rarely and never are not the same thing now, are they?