Adolescents with gender dysphoria should be active participants in decisions about their gender-related health care.

Physicians are accountable to patients for physical and psychological harm caused by intersex surgery, cosmetic vaginal surgery, or circumcision.

Suppression of puberty should become the standard of care for gender identity disorder: it is safe and reversible, allows children more time to explore their gender identities, and prevents the development of difficult-to-reverse physical features.