Ashley’s response to our recent paper argues that a fuller appreciation of the available clinical data, of the rights of children to autonomy, and of the primary purpose of gender-affirming endocrine treatment supports the rejection of both the pathway and consent dilemmas for the treatment of gender dysphoria, as raised in this journal. In this response, we highlight certain misrepresentations of our argument, and defend our conclusions against Ashley’s main objections.
- decision making
- gender identity
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Contributors TB is the primary author. GD revised critically.
Funding This study was funded by Lumina Quaeuruntur (LQ300092001).
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.