“Among the most vulnerable patients I have seen”

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sic personal hygiene. They have talked about their poor social circumstances and being unable to afford the normal things most children have. They grew up feeling they were on the outside, ostracised by their parents and their peers.

They have endured all of this, pouring their energy into surviving at the cost of maturing. And then, with little idea of their own identity, they have found the camaraderie of a trans peer group and embraced the idea that they were born in the wrong body.

They now believe it is their body that is wrong and needs to change. This view has then been endorsed by the NHS, schools and even politicians. No one has said to them: “You are fine just the way you are. Let’s help you.”…

Professionals seem too frightened to question whether changing gender is what these patients really need….

I worry that many will look back at the NHS in a few years and think: “What have you done to me? I have no breasts and I cannot have children. My life is wrecked just like my childhood was wrecked.” I feel I am seeing a medical scandal unfold before my eyes.

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