A psychologist at the Boston Children’s Hospital’s Gender Clinic has explained that Children as young as 14 years old start “pursuing surgeries.”

Kerry McGregor, a psychologist at the Boston Children’s Hospital’s Gender Multispeciality Clinic, made the admission during a presentation that people as young as 14 are pursuing mastectomies or breast implants. Boston Children’s Hospital is not the only hospital that performs sex change surgeries on minors.

A 2017 email exchange between Assistant Secretary of Health Rachel Levine, who is transgender, and the co-founder and co-director of the Gender and Sexuality Development Clinic at the Children’s Hospital of Philadelphia reveals that such surgeries were also occurring in Pennsylvania.