The article provides examples of clinics offering very few steps to treatment, and discusses doctors who bias in favor of treatment. It paints a picture supporting the conclusion that it would have been easy.
It'd be nice to have literature or deeper investigation on this.
I wouldn't be surprised if for most girls, treatment starts with wearing a binder, which is clothing.
Information about people seeking gender affirming care in different places and stages of transition is not refutable based on this article.
And it is anecdata - how many patients had positive outcomes? Article doesn’t tell you. What did the (brand new) centre learn from these cases with negative outcomes? What protocols was it using? Are they the same now? Are they common elsewhere?