“Call me naive…”

t never happened; that the rate was just 1%. Well, I certainly hadn’t done a hundred hysterectomies for gender affirmation. So what was going on here?

And so on. It's a tough read, but I suppose it's a welcome sign of the times that someone so clearly unsuited to a rebel role – someone who has always happily followed the party line and is dedicated to her career and to her patients – is now beginning to see the light. Things have got so bad in "gender-affirming care" in the US that even someone like Karla Solheim here feels compelled to speak out.

I had just assumed the experts crafting guidelines were ensuring that there was a body of evidence supporting the incontrovertible long-term benefits for these extraordinary treatments that were being performed on young people: puberty blockers, cross-sex hormones, and double mastectomy.

But you assumed wrong.