They took the fad to the absolute extreme, with increasingly irreversable changes, and it's become another branch of transhumanism. The whole idea that humans can rise above biology. Changing (or exagerrating) the sex is just the warm-up. We'll see people with tails, people who have their limbs replaced with robotic superlimbs, cochlear implants in healthy people, manipulation in vitro, etc.

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I guess there's no way to make money off of "be who you naturally are". it bothers me that some younger people might think that these are answers. I bet some kids are completely comfortable in their skin, and others are not. or if "rebelling" nowadays is taking some hormones instead of just earrings and tattoos. however smoking/drinking is marketed to kids too, and that is also very body altering. the state of California cracked down on flavored vaping products marketed to kids. these kinda laws will also be needed for pharma/medical companies for hormonal and surgical augmentation. we just need to get the public aware of this modern version of snake oil/skin whitening/etc salesmen.
i don't think the biological substrate will survive such perversion almost all mods destroy or probably destroy fertility so every idiot who falls for it or gets pushed into it is end of line just add some widespread global natural disaster cluster and i'm pretty sure it will put an end to this idiocy