In Which I Fail to Find You Any Gate-keeping

Guys, this essay is a failure. I was thinking, “Hey, trans people with big audiences are saying detransitioners should have thought harder before transitioning. Maybe that will lead some people considering medical transition to ask where they could get a more structured, comprehensive process than one session at an informed consent clinic. Maybe I can point them on where to go in North America to get that process!”

This was more ambitious than I knew. Trans healthcare is guided by the World Professional Association for Transgender Health’s Standards of