We are medical and mental health professionals, academics, researchers, activists, and allies, some trans and others cis, all with expertise in gender and sexuality and troubled by the notion of “Rapid Onset Gender Dysphoria.” Affirmative approaches for transgender youth have been demonstrated to improve quality of life, relationship satisfaction, self-esteem and self-confidence, and clearly show reductions in anxiety, depression, suicidal tendencies, and substance use. Rates of regret are m