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As the debate continues over which bathroom transgender people should use, a more complex question is emerging about how early the medical transition begins for trans kids. Families and doctors are rewriting the rules as they decide when and how to start medical intervention before transgender youth hit puberty. About 1.7 percent of American youth identify as transgender, and that estimate is conservative since the population is likely underreporting. “I feel comfortable saying that any survey of LGBT identity likely underestimates the full population because it only accounts for one part of sexual and gender minority status, ‘identity’,” said Bianca Wilson of the Williams Institute, a national think tank at the UCLA School of Law that advances sexual orientation and gender identity law. In addition to fighting for acceptance, transgender children and their families are faced with medical questions that could be life-changing. These decisions are even harder for those young trans and gender nonconforming people who don’t have family support. Estimates show that about 40 percent of homeless youth identify as LGBT. VICE News explores the emotionally charged and rapidly evolving issues faced by trans youth and their parents in a time of drastic political and societal change. Subscribe to VICE News here: http://bit.ly/Subscribe-to-VICE-News Check out VICE News for more: http://vicenews.com Follow VICE News here: Facebook: / vicenews Twitter: / vicenews Tumblr: / vicenews Instagram: / vicenews More videos from the VICE network: https://www.fb.com/vicevideo