Gender-affirming care is often presented as the best approach for children with gender dysphoria, but growing numbers of medical professionals and researchers around the world are questioning its safety and effectiveness. While advocates argue that social and medical transition can alleviate distress, critics point to the lack of long-term studies, potential irreversible consequences, and the high likelihood of comorbid mental health conditions being overlooked. We’ll explore the origins of gender-affirming care, its risks, and why a growing movement is calling for a different approach to supporting gender-questioning youth.