Listening to the ill-informed one would think gender affirming care means mutilation. 
What does it mean? I don't know, because the little reading I have done it changes. Some say it's the equivalent of a girl wearing a push up bra, others include hormone treatment. Some say it includes surgery, and yet others go as far as the removal of organs.
We've had children's hospitals deny giving minors hysterectomies after publicizing that they do.
You can't have this discussion without defining the terms.
To their credit, the DeSantis administration did that to reporters. When reporters asked about "gender affirming care" they made the reporters get real specific about what kind of care they were asking about. It was quite instructive to see how hard they tried to avoid giving specifics and to hide behind the beautiful sounding "affirming care" euphemism. Like "natural organic lollipops", except, you know, irreversible surgeries.
Should a tattoo parlor give a 12 year old a tattoo if they really want one and both parents consent? What about without parental knowledge?