Domenico de Chaley was moved by an example of a young person who strongly identified as male and distressed about being in this female body. He decided that there had to be a specialist service for these young people with gender incongruence. And he succeeded in opening this service in 1989 at a South London hospital called St George's. It then moved to its current home, the Tavistock and Portman in 1994. For quite a long time, the numbers were very small. The service was about talking therapies, about trying to help those children and young people explore their gender identity.

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