“…Since gender assessments are meant to be a compromise between the needs of trans communities and detransitioners, their lack of proven effectiveness brings their ethical status into question. In addition to the harm that may be caused by delaying care, some studies suggest that gender assessments are experienced as distressing, invasive, degrading, and unjust by trans individuals (Fraser et al, 2021; Horton, 2022, 2021; MacKinnon et al, 2020; Shook et al, 2022; Stroumsa, Maksutova, et al, 2022; see also Ashley, 2019a). Reliance on gender norms and stereotypes in pediatric practice is particularly concerning since it risks inculcating and reinforcing these norms and stereotypes among children, restricting their freedom and perpetuating inequalities (see e.g., Eliot, 2010; Weisgram & Dinella, 2018; Yu et al, 2017).…”