The Daily ‘The Protocol’: The Story Behind Medical Care for Transgender Kids
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Jun 6, 2025 
Azeen Ghorayshi is a New York Times reporter focused on sex, gender, and science. She discusses the contentious landscape surrounding medical care for transgender minors, highlighting the surge in state-level bans on treatments. The conversation delves into the historical context of youth gender medicine, featuring pivotal moments, the impact of political decisions, and the urgent need for accessible care. Ghorayshi also shares personal accounts of individuals navigating their identities amidst these challenges and reflects on the potential future of gender-affirming healthcare.
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Dutch Beginnings of Trans Care
- Trans medical care began in the Netherlands, one of the first countries to treat adult trans patients medically in the 1950s.
- Early skepticism existed, but some doctors pioneered treating trans patients with hormones and surgeries to alleviate suffering.
FG: First Puberty Blocker Patient
- FG was the first person given puberty blockers for gender dysphoria, receiving treatment at age 12 or 13.
- His strong, convincing assertion of identity prompted doctors to try this new treatment path on him.
FG's Childhood Gender Experience
- FG indicated wishing to be a boy since early childhood and took assertive actions like wearing knickerbockers under a dress.
- Puberty caused increased anxiety and frustration, intensifying his desire to transition.