Between 2015 and 2020, 10,478 children (defined as under eighteen) were referred to England’s Gender Identity Development Service. The total child population of England is approximately 12 million. So, even with the increased numbers of children who are presenting to the NHS with gender issues, and even if all of them are persistently identifying as trans, these referrals would constitute at most approximately 0.09 per cent of the total child population of England.