In a previous article, I argued that assessment requirements for transgender hormone replacement therapy (HRT) are unethical and dehumanising. A recent response published by the Journal of Medical Ethics criticises this proposal. In this reply, I advance that their response misunderstood core parts of my argument and fails to provide independent support for assessment requirements. Though transition-related care may have similarities with cosmetic surgeries, this does not suffice to establish a need for assessments, and nor do the high rates of depression and anxiety justify assessments, especially given the protective role HRT plays towards mental well-being.
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Contributors FA is the sole author of this work.
Competing interests None declared.
Provenance and peer review Commissioned; internally peer reviewed.
Correction notice This version has been corrected. The sentence "That the fates of abortion and HRT are tied is a bug, not a feature" should read "That the fates of abortion and HRT are tied is a feature, not a bug ".
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