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I don't wish to personally mediate the hard decisions that have to be made when puberty comes up, but lifelong fertility is on the line at that point and kids do need to understand that it's very hard to predict how much that'll matter later in life when you're 11, 12, 13
Likewise, it's becoming easier to "pass" later in life, but it's still the case that medical transition earlier produces better results. I think it's reasonable to prioritize both delay for fertility preservation in childhood & fairly early transition for long-term dysphoria
But frankly, if teens are going to be making decisions of this caliber for themselves, it can't be the first time. They need to have some experience with making important personal decisions outside the sheath of parental oversight much earlier on
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