How many people are we talking about here? I work in a private secondary school in a very liberal Euro country and I have seen 1 case of a kid transitioning in the last couple of years. One out of a 1000 or so. That seems to be where we are. There's a few gay lads and lasses, and a couple where, physically, you'd wonder what gender they are or desire to be, but actually Trans...... One. This person, 17 year old I think, has now changed name and may be starting some hormone treatment. Don't know about surgery. I mean, it's not really a fucking big deal. The teachers of this student have been informed that they now wish to be called X instead of Y. Not much of an issue, tbh.