Mick Hartley

Of course, we have different personality traits, and some of us (male and female) are more masculine or more feminine. But this is not some kind of gendered soul which can be so at odds with our bodies as to give rise to a medical condition that demands physical body modifications.

A masculine girl may turn against her body, but the answer is, clearly, to assert the rights of girls to be masculine and support the girl to embrace the way she is. Likewise for feminine boys.

Cass was right to point to a lack of high-quality, or even medium-quality, evidence, but wrong to jump from that to the need for a clinical trial. Not everything unsubstantiated by evidence deserves clinical trials, especially when the risks and long-term effects are so serious.

The recent vibe shift means that a Cass Report that was widely welcomed in early 2024 is showing its age and its significant flaws less than two years later.

We need to question the premise. And, when we do, it is clear that “gender incongruence” is either not a medical problem at all or it is a medical problem that requires no more than a psychological response.