"I knew that so-called sex change or what they call gender affirmation surgeries now, but I knew that that was happening. And yet to sit across from someone who does this and hear the explain it, it's still shocking just to encounter it," he says. "There were some things I learned about how young the kids are when they start them on the actual medical transition part of it ... They chop the breasts off of 13, 14-year-old girls."

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