• Gender Dysphoria
• Puberty

Public and professional attitudes to people who want to undergo gender reassignment are changing rapidly. There is much evidence that transgender adults and adolescents have high levels of psychological morbidity: this has been presented as evidence that their desire to change gender is just another symptom of generalised psychopathology. But could it be that the problems they experience in later life are actually a result of their unhappiness with their biological gender while growing up?

An increasing number of prepubertal children are expressing a desire to live as the opposite to …