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[Editorial] Gender-affirming care needed for transgender children

The number of children and adolescents seeking support for gender dysphoria—the distress caused by incongruence between gender identity and sex assigned at birth—has soared in recent years. On June 18, the first guidelines focusing solely on the care of transgender and gender-diverse children and adolescents were published by the Royal Children’s Hospital Gender Service, Melbourne, Australia. Initiated to advocate for legal reform in Australia, where until recently anyone younger than 18 years needed to obtain legal permission to access hormone treatment, the guidelines outline a framework for provision of respectful, gender-affirming care of transgender and gender diverse children and adolescents.