Pre-pubescent children easily pass as the opposite sex, and after socially transitioning may give little thought to their true sex for years. When adolescence beckons, they become distressed and agitate for puberty blockers. And, as much clinical experience now shows, that is an almost sure route to cross-sex hormones. So parents who socially transition their children are fast-tracking them to medical and surgical transition, all the while believing that such decisions are many years away.
