Readers will immediately notice that what most of us recognize as “Tanner Staging” has been replaced by the term “Sexual Maturity Rating.” A quick review of recent literature will show that “Sexual Maturity Rating” is becoming the more accepted term.

Puberty is a time of rapid linear growth and multiple physical changes. Accurately identifying the onset of puberty and how this relates to height velocity is essential to recognizing normal and abnormal growth patterns. The onset of puberty is also a critical time for the identification and treatment of individuals with persistent gender dysphoria.

After completing this article, the reader should be able to:

Puberty is broadly defined as the time at which a child develops secondary sexual characteristics and reproductive function. Puberty results from a complex sequence of biological events mediated by genetic, hormonal, and environmental factors that are characterized by the maturation of gametogenesis and secretion of gonadal...

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