In 2018, the American Academy of Pediatrics recommended that all transgender and gender-diverse (TGGD) youth “have access to comprehensive, gender-affirming, and developmentally appropriate health care.” In its position statement, The American Academy of Pediatrics acknowledges mounting evidence that gender-affirming medical care (GAMC) for TGGD youth improves health and developmental outcomes2,3  and describes the critical role that pediatricians play in diagnosing, supporting, and facilitating access to care for TGGD youth. Furthermore, the timing of presentation to care for peri-pubertal youth is critical because delays in care impact whether and to what extent a youth can benefit from treatment with pubertal suppression. Access to puberty suppression may have an impact not only on mental health outcomes, but also on the need for or type of future surgical interventions.4,5  It is vital that providers who care for youth understand the factors that impact youth’s timing of...

You do not currently have access to this content.