How Young Is Too Young for Sterilization?

What do you do if you are the parent of a child who believes they were born in the wrong body? What if your kid doesn’t fit the stereotypical behavior of their sex—your daughter is a tomboy, your son is effeminate—and a teacher or school counselor suggests they might be transgender? What if your teenager, uncomfortable with their changing body at puberty, says they will harm themselves—or worse—if they are not allowed to medically transition?

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A growing number of parents are facing such questions in 2022. Desperate for answers, they are turning to the experts: the doctors, psychologists, and professional organizations devoted to diagnosing and treating gender dysphoria.

Among the most important of these associations is the World Professional Association for Transgender Health (WPATH). Founded in 1979, it is regarded by many as a premier advocacy group for medical care, education, and research regarding transgender and “gender diverse” people. Though it’s not a medical association—in addition to doctors and psychologists, its ranks include lawyers, educators, students, and electrologists—WPATH’s Standards of Care are considered by practitioners around the world to be the gold standard of recommendations for treating gender-related distress.

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