In 2018 andrea davidson’s 12-year-old daughter, Meghan, announced she was “definitely a boy”. Ms Davidson says her child was never a tomboy but the family doctor congratulated her and asked what pronouns she had chosen, before writing a referral to the British Columbia Children’s Hospital (bcch). “We thought we were going to see a psychologist, but it was a nurse and a social worker,” says Ms Davidson (both her and her daughter’s names have been changed). “Within ten minutes they had offered our child Lupron”—a puberty-blocking drug. “They brought up the drug directly with our child, in front of us, without discussing it with us privately first.” There was no mention of other mental-health issues, which are known to increase the likelihood of gender dysphoria, the feeling that you are in the wrong body. “There was no therapy on offer and we were just brushed aside when we raised it.”