The defendants carried out "ideological and profit-driven medical abuse" when they prescribed her puberty blockers and hormones and, later, performed a double mastectomy, Charles LiMandri, one of the lawyers representing the plaintiff, Layla Jane, said in a statement. Jane, now 18, was influenced by people online when she was just 11 and told her parents that she was a boy, prompting them to ask for guidance from doctors.