Conclusion

Abstract

Abstract This book has addressed the ethical concerns that surround various stages of clinical care; some arise with very young children, and some arise with older adolescents; some of these concerns are about how to respond to a child’s expression, and some are about what medical treatment can be ethically provided and when, and with what safeguarding mechanisms. This chapter considers new emerging trends, such as the increases in referral rates, the changes in sex-ratio, the increased prevalence of gender incongruence among neurodiverse children, the increasing demands of long-term puberty suppression by non-binary youth. It will explain what the ethical issues are, in regard to these emerging trends, and offer a way of thinking about how to address and resolve these.