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An important thing to understand about today’s very welcome judicial review ruling is that the Tavistock is not actually some sort of wild wrongdoer. By international standards it is actually extremely conservative in its approach. 1/n
It was very slow to start using puberty blockers routinely. It actually does some exploratory work before recommending transition drugs - quality variable, depending on clinician - but at least some. Surgery never happens until 18 or over. 2/n
In the US, mastectomy can happen as young as 13. A few surgeons will carry out genital surgery under 18. Many clinics run in the informed-consent model - sign away your right to sue, and they’ll give you whatever you want 3/n
The reason the Tavi was in court is simply that there is more accountability in the U.K. It’s a publicly funded service, & is supposed to run on an evidence-based, cost-benefit approach. When you read the ruling, remember that far worse happens elsewhere. Without oversight 4/4
