This accessible article explains some of the heated debate about health care for trans youth, sketching out two broadly opposed sides: “The first side wants to reduce standardized gatekeeping around procedures, leaving the matter of the right age at which to, say, undergo top surgery up to the doctor, parents, and teen…The second side worries that allowing access to top surgery for young people at all is reckless, and could lead to regret.” Citing research data as well as popular media accounts, the author argues for reducing gatekeeping and trusting medical professionals, parents, and teens to make decisions that will ultimately lead to better outcomes for more people.