You’re assuming the suits will be successful.
Most of these quacks practice in Leftist H-holes where the courts are packed with Leftist A-holes.
The same with the Medical Boards. I doubt that there will be any sanctions on these money chasing monsters for malpractice.
These doctors will be protected by their Leftist buddies as long as they tow the party line and give big donations to the party.
The issue is that in any circumstance, these are minors that have no ability to engage in contracts or bodily alterations that could affect their future. This is why tattoos, piercings, etc., aren’t available to them and this precedent is pretty infallible to even the most liberal of judges. If the judge rules that this is an exception, then the floodgates open to minors being able to make the same decisions as adults.
Also, this is why Europe has abandoned trans youth as well. Furthermore, there’s evidence emerging of serious health complications from hormone treatment and there are already detransitioners that can be called as expert witnesses that will make it clear to juries how insidious this practice is. There are places like California where trying this would be difficult, but once doctors/therapists start getting hit with massive penalties/settlements, they will abandon it regardless of liberal sentiment.