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Ashley ceased developing mentally, leaving her with the mind of a 3-month-old infant. If you had a 3-month-old girl and they suddenly started to go through puberty, of course you'd have it medically arrested. You'd be negligent not to.
Keeping Ashley's weight down is also of extreme importance, as it reduces the chances for painful, eventually fatal bedsores. That's another reason for halting the development of breasts - they'd interfere with the straps used to hold Ashely upright, opening the possibility of more infections and bedsores.
I wonder if the freaks so upset about Ashely's surgery are also outraged when parents are forced to have mastectomies performed on young daughters who happen to get breast cancer. Are they incensed when parents elect to have cancerous testicles removed from their young sons? And why aren't you fools out rioting in front of the hospitals over the millions of circumcisions routinely performed on infant boys?