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The Review

The Protocol

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The Evolution of Trans Healthcare: Historical Perspectives and Contemporary Challenges

This chapter delves into the historical background of transgender medicine in the U.S., focusing on Paul McHugh's controversial influence at Johns Hopkins University and the clinic's closure in 1979. It examines the ongoing debates surrounding trans healthcare, emphasizing the importance of understanding trans experiences alongside robust medical evidence. Additionally, the chapter addresses the political climate affecting research and treatment protocols, highlighting the need for personalized patient care amid shifting narratives.

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