But Dr. McHugh believes the transgender craze will likely end as the multiple personality craze did: in the courts, with patients suing their doctors. Some of these teenage girls, he says, “will wake up at age twenty-three, twenty-four, and say, ‘Here I am. I’ve got a five-o’clock shadow, I’m mutilated and I’m sterile, and I’m not what I ought to be. How did this happen?’ ”

