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The point of a public intellectual is to make wild arguments with maximum conviction. And in this respect, Andrea Long Chu—transgender woman, Pulitzer Prize—winning literary critic, irrepressible provocateur—always exceeds my expectations.
In a recent cover story for New York magazine, Chu makes the case for child gender transition using the most unpopular rationale possible: in essence, that minors should be allowed to have mastectomies and other gender surgeries if they want them, simply because they want them. The most broadly appealing version of the argument for medical transition is that a small number of people have a psychological condition gender dysphoria that makes them unhappy because their sexed bodies feel alien to them and doctors have treatments hormones and surgery that can help.
In making the case for youth transition, activists have tended to emphasize the first part of that story—the distress of gender-nonconforming children—to justify treatments that would otherwise sound extreme.
Even Marci Bowers, the president of the World Professional Association for Transgender Health, has noted that blocking puberty early means patients might never develop adult fertility or sexual function. Put simply, this is not something that most parents would agree to—unless the alternative was worse. And so medical-transition advocates have highlighted the possibility of suicide by gender-nonconforming minors: Would you rather have a dead son or a living daughter?