his criteria for allowing medical transition were rooted in his own highly idiosyncratic, patriarchal ideas. He would, for instance, refuse trans women whom he considered too tall, or who would not consider taking up a more feminine profession after transition, to ‘pass’ as female. ‘I think if they are going to be ladies,’ he wrote of trans women in 1969, ‘they should be lady-like. Conformity … is surely what we are looking for.’