And everywhere the same pattern is evident: almost every child who takes puberty blockers progresses to cross-sex hormones. A different Dutch clinic says its desistance rate is 3.8 percent; at the Tavistock, it is 1.2 percent. The notion that puberty blockers give time for dysphoria to resolve is simply untenable. Instead, they are part of a treatment pathway that ushers children towards adulthood identifying as a trans person.

