“This week, the Biden administration released guidelines supporting hormone therapy, adolescent inhibitors, and sex reassignment surgery for children and young adults,” Trump told the crowd at the Grand Rapids. “Can you imagine a child growing up and then saying ‘why the hell did you do that mom or dad or government?’ On Thursday – World Transparent Visibility Day – the Office of Population Affairs of the Ministry of Health and Human Services published a paper entitled “Gender Confirmation of Care and Youth”. On the same day, the National Traumatic Child Stress Network of the Substance Abuse and Mental Health Services Administration, another DHHS subset, released a more detailed twin document entitled, “Gender-Confirming Care is Trauma Care.” “Who the hell would have thought we would talk about these things?” Trump asked the crowd. Getty Images “Both documents offer guidance for teens struggling with their gender identity, including ‘Top’ surgery – to create a typical breast shape or breast augmentation.” and “Bottom” surgery – surgery on the genitals or reproductive organs, feminization of the face or other operations. “Gender-affirming medical and psychosocial health care practices have been shown to produce lower rates of negative mental health outcomes, build self-esteem and improve the overall quality of life for trans and diverse young people,” the OPA document said. Other practices promoted include adolescent inhibitors, which can stop the development of adolescence, and hormone therapy using estrogen or testosterone. “Can you imagine a child then growing up and saying ‘why the hell did you do that to mom or dad or government?’ said Trump at Friday’s rally.Getty Images The NCTSN document argues that such practices do not constitute child abuse, most likely in response to a Texas law passed in February that makes such transfers illegal. “Who the hell would have thought we would talk about these things?” the 45th president asked the crowd. Biden released a video on Thursday pledging his support for the transgender community, in which he said “confirming your child’s identity is one of the most powerful things you can do to keep him or her safe and sound. “Any trans American who fights, please know that you are not alone.” Biden also said he would fight state laws that bar trans athletes from competing. The issue has gained a lot of attention since the appearance of University of Pennsylvania transgender swimmer Lia Thomas, who has dominated women’s swimming. “With its extremist ideology of gender and gender, the Democratic Party is waging a war against reality, a war against science, a war against children, a war against women,” Trump said. A Gallup poll published in February found that about 0.7 percent of Americans identify as transgender.