U.S. Department of Health and Human Services Assistant Secretary for Health Rachel Levine, the highest-ranking transgender official. These surgeries do not seem to pose a problem for those like Levine who believe the theory that "trans kids know who they are." Children who do not fit sex stereotypes and same-sex attracted adolescents are now given the idea they are "trans" and encouraged to perceive hormones and surgeries as a solution to the substantial difficulties that society imposes on gender non-conforming young people. Contrary to the slogans, these treatments are not lifesaving.