I agree parents should not force kids to have piercings. However trans health is a healthcare issue, like other health conditions. There is a problem that is causing suffering. In healthcare, we typically rely on parents as guardians to give legal consent, but kids also have to give their “assent” which carries crucial moral weight in the situation. While kids might not have the capacity to give fully informed consent, they can give assent based on their best understanding.

We apply this to things like cancer treatment, corrective plastic surgery, counselling, and mental health medication for kids. Some of these can be even more permanent and life-altering than hormone blockers for kids (we don’t allow bottom surgery for kids).

This is why transcare, like most healthcare for kids, should involve a team of healthcare professionals, guardians, and crucially the child themselves in patient-centered decision-making.

Do bad decisions happen? Yes. Are there misguided professionals, guardians, and kid patients? Yes. But this kind of care as standard is far better than parents deciding, or kids being left alone to figure it out themselves, or worse, policy-makers, who don’t give a shit about evidence-based healthcare, deciding no trans kids get care. That’s right, banning transcare is also making a decision for people with the consequence that trans kids continue to experience profound suffering without care.