Trans children, treated with surgery before puberty then assigned-sex hormones to have an assigned-sex puberty, would pass so much better. They would have skulls and skeletons consistent with their trans sex. They would need far less invasive, far more successful, surgery. The problem is children who desist. Many children referred to gender clinics as children grow up to identify as cis, often lesbian gay or bi. Reverting after surgery or such hormone treatment, after removal of genitals and needing further surgery, a person might develop a deep resentment of the medical services s/he had as a child.
Who do you protect? Not knowing whether this child will revert, do you force trans children to undergo an unwanted puberty to protect a cis person who might be caught up in the treatment? All other things being equal, people are happier with a full set of working genitalia including gonads than without. So, someone has to speak up for the genuine trans children, forced through an alienating puberty to need more surgery with worse outcomes: I am sorry that it is not me.
What matters is how many referred to gender clinics desist, and whether one can detect them before puberty. In the New York Magazine I read of two recent studies. Some of the children who desisted were just as extreme [in their gender dysphoria] as some of the children who persisted, wrote Devita Singh, a clinical psychologist. The NYMag article raises my distrust when it says that Kenneth Zucker was sacked as director of a GIC largely a result of false accusations leveled against him, after a lengthy campaign from a segment of LGBT activists who accused him — wrongly, in light of the available evidence — of harming his clients. Um. “A segment”- who? The Bad ones? So his bosses sacked him, because of lies told by bad people, rather than finding the truth? Really?
Thomas Steensma studied 127 children referred to the Centre of Expertise on Gender Dysphoria in Amsterdam. He found that eighty of them had desisted. Singh found of 139 AMAB children, 122 had desisted.
Were those children referred to the clinics for true gender dysphoria, or mere gender non-conformity? Some boys are effeminate- get over it, as they say. It is no surprise if non-conforming children become cis non-conforming adults- for it really is OK to be an feminine man or a masculine woman, and adults, who learn to navigate the discrepancies between what others expect and their own internal leadings so much better than children, can live more happily with that. A child may be more comfortable transitioned because though the new gender stereotype does not fit their idiosyncratic self, it is still more comfortable than the stereotype assigned at birth.
Can you tell the difference between non-conformity and dysphoria? I don’t know. I hope the doctors are working on it.
Would that children could be transitioned to neutral, a childhood without gendered expectations. They could be allowed to experiment- different clothes, colours, hair, names, playing without being divided between girls and boys-
Only gender affirmation- if it is not clearly harmful, it is permissible. That might be better for everyone.
New York Magazine, What’s missing from the conversation about trans kids.