In 2007, Boston Children’s Hospital opened the first pediatric gender clinic in the United States. Known as the Gender Multispecialty Service (GeMS), the hospital describes it as “the first major program in the U.S. to focus on gender-diverse and transgender adolescents.” And the hospital touts the fact that, since founding GeMS, “we have expanded our program to welcome patients from ages 3 to 25.”
Age three is when a toddler can describe what is happening in a picture book. Yet that is the age of children to whom Boston Children’s Hospital offers “gender-affirmative care,” a euphemism used to describe novel medical interventions, such as drugs to prevent children from going through puberty at a normal age, cross-sex hormones, and sex reassignment surgeries.





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