I agree that prosecuting parents and doctors is a given, and perhaps even punishing hospital administrators in the same way. But the only way to permanently deter behavior in an institution is to make it cost them. These hospitals and clinics are so gung ho about trans surgeries because it's making them and their shareholders a fortune, and they would burn through as many idealistic young doctors ready for martyrdom as they needed to in order to continue profiting from the grift.

Financial penalties are the only deterrent that investors and technocrats understand.