The court’s opinion was damning. It noted that the defendant clinic had been unable to explain the sudden rise in teenage girls presenting at the clinic for hormones and surgeries. The clinic had admitted that not a single minor teenage girl had been turned away for inability to provide “informed consent.” The High Court noted also that the hormonal treatments came with serious health risks—that side effects might include “loss of fertility” and loss of “sexual function”; that “the evidence base for this treatment is as yet highly uncertain.”

