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Conference report: International Trans Studies Conference, Day 1

REPENT.

The messages greeted me as soon as I left the ancient, rattling commuter train from central Chicago, chalked onto the sidewalk all along Church Street on the walk to my hotel. They seemed oddly out of place in Evanston, a leafy college suburb with an extremely chill vibe; a strange contrast to the low-key cool of the bars and restaurants, and turquoise blue calm of the inconceivably vast Lake Michigan.

At first I misread the final word of every message as “repeat”, as in (for example): “Praise the Lord – repeat”. I thought someone was simply very enthusiastic about sharing their values. “Repent”, however, feels a lot more aggressive and also quite pessimistic, assuming the reader’s guilt and their urgent need to make amends.

I am here for the 2nd International Trans Studies Conference, held at Evanston’s Northwestern University, in the original homelands of the Council of Three Fires (the Ojibwe, Potawatomi, and Odawa peoples). In the opening plenary of the conference, the political scientist Paisley Currah argued that we are living in a crisis moment for trans politics: not because we are necessarily facing more discrimination than ever before, but because more people are paying attention to our existence. Many of these people hope we might repent our trans identities, our gender deviance, our very existence. And yet, here we are, gathering from around the world to discuss trans knowledge and trans ideas, and to imagine trans futures.

Over the course of the conference I am attending numerous talks and meetings across a dizzying array of topics and themes, taking in both theory and evidence from researchers based in the humanities, social studies, and physical sciences. I plan to blog regularly, sharing information I have learned as well as critical reflections on the event. There are literally hundreds of talks taking place over up to 11 simultaneous sessions at any one time, so please do not expect an exhaustive account! Still, I hope these posts will be of interest to people unable to attend the conference, as well as fellow attendees.


The opening plenary: ‘The State of the Post-Discipline’

The conference began on the evening of Wednesday 4th September, with a two-hour opening plenary titled ‘State of the Post-Discipline’, reflecting the official theme of the event. Across four talks, this session aimed to set the tone for the conference and introduce a series of key ideas for consideration in the coming days.

I felt the plenary very much reflected the ambition, the importance, and the limitations of this conference. Each of the speakers emphasised the importance of a materialist approach to trans studies, in which our research can speak helpfully to the reality of people’s lives. This necessarily involves grounding our work in practical examples of trans realities, and understanding our histories in order to better tackle the challenges of the present and future. The speakers were perfectly blunt about the enormous harms that trans people have faced across time and in many places, while maintaining an optimism for how we might productively learn together.

At the same time, it felt strange that together, these four opening commentaries reflected a very limited geographic perspective, with three of the speakers being based in the United States. Similarly, it was disappointing to see just one trans woman on the stage, the Mexican biologist and philosopher Siobhan Guerrero Mc Manus.

This unfortunately reflected the wider dynamics at play within trans studies. As conference organiser TJ Billard noted in their opening comments, trans studies has historically been dominated by US and (to a lesser extent) European voices. Moreover, all four of the field’s major journals are effectively based in the United States. The 2nd “International” Trans Studies Conference is inevitably dominated by US scholars and perspectives, even as there are an impressive range of people present from the rest of the world. I’ve also frequently observed the minoritisation of trans women with trans-oriented conferences and research projects, even given the enormous influence of key figures such as Susan Stryker (who will be speaking in a later plenary) and Sandy Stone.

Nevertheless, the conference couldn’t have found a better opening speaker than queer Indigenous historian and literary scholar Kai Pyle. I have long admired Kai’s written work, so it was exciting to finally see them speak.

North American conferences frequently open with a land acknowledgement, in which organisers and/or invited elders of local Indigenous communities recognise the role of Indigenous peoples as the original stewards of lands taken by settler colonists. However, land acknowledgements rarely offer deeper understanding, let alone any form of reparation for the enormous damage wrought by colonialism.

Pyle themself rightly noted that a single talk could not possible begin to account for the violences and erasures of the past and present, and they observed also relative absence of Indigenous academics from the conference space. They further comments that “although I’m speaking on a panel titled ‘The state of the post-discipline’, I’m barely concerned with the discipline at all”: instead Pyle is concerned with a future where indigenous trans people can live.

Nevetheless, it was powerful to begin the event with a talk specifically about the oppression and resistance of Indigenous peoples in the Great Lake region. Pyle also argued that this history is necessary for properly understanding the history of trans studies itself.

Pyle explained that the lands of the Illinois or Inoka people were first invaded by the French in the 17th Century. Subsequent European accounts and travelogues widely reported the presence of gender roles in Inoka society that did not align with European norms: examples included the leadership of women in agriculture, and genders that could not be easily categorised as female or male. The subsequent projection of European understandings and desires onto Indigenous North American peoples informed early pathological accounts of gender ‘deviance’ as physical and mental sickness, which in turn would inform inform diagnostic categories from the 19th century to the present day. Indigenous people themselves, meanwhile, were subject to immense colonial violence, including coercive conversion to Christianity, removal from their homelands through forced marches such as the Trail of Death, and cultural destruction through the Indian residential school system.

Turning to the early 20th century, Pyle told the story of Ralph Kerwineo, an individual of Potawatomi and Black heritage who successfully ‘passed’ as a man and married two women while living in his ancestral homelands. While Kerwineo might today be understood as a trans man, there is no evidence of any engagement with the traditional gender roles of his people. Pyle noted that this stands as evidence of both enormous alienation but also resistance: Kerwineo successfully lived a gender ‘deviant’ life in the Chicago are a hundred years of attempted elimination of his people.

Finally, Pyle reflected on the emergence of the two spirit movement in the early 1990s, in parallel with the emergence of the contemporary US trans movement, as well as trans studies.

The second talk was by Paisley Currah, who argued for theorising “trans rights without a theory of gender”. He posited that trans studies has been increasingly “stepping aside from just doing theory” over the last decade, as seen for example in the creation of the journal Bulletin of Applied Transgender Studies. In this context we can potentially separate questions of social justice from questions of what sex and gender might actually be.

Currah illustrated this argument with the example of campaigns around sex classification policies in New York City. Attempts to introduce a system of self-declaration in the 2000s and early 2010s were complicated the fact that some city bureaucrats supported the proposed changes, and others opposed them. This was summarised by a legal argument made by the city government: “the existence of difference approaches to similar problems does not render an agency’s rule irrational”.

In this context, Currah argued that sex/gender is in practice a “decision informed by law”, and by the needs and interests of lawmakers. For example, in many jurisdictions it is fairly easy to change a sex/gender marker on a driving license. This is because in practice driving licenses are used by the state primarily for tracking and surveillance, and it is therefore in the state’s interest for the license to reflect what people look like and how they live. By contrast, it has historically often been more difficult to change sex/gender for the purpose of marriage: that is because this would entail a disruption of the heteronormative biological logic for property transfer across generations.

Currah concluded by arguing that when we argue for changes to these policies, the existence and diversity of trans people “is enough”. We exist no matter what your theoretical position on sex or gender, and “a world without us cannot be willed into being”. The focus of policy advocacy should therefore be on what we need to flourish, rather than abstract theorisation.

I found Currah’s arguments extremely helpful and well-framed. However, I was surprised to his insights framed as novel, as the approaches he described feel well-established in the UK. Unlike in the US, materialist approaches have been central to trans studies since the 1980s, in the work of key scholars such as Dave King, Stephen Whittle, and Zowie Davy. Meanwhile, the focus on trans people’s practical needs is embodied in the work of organisations such as Trans Safety Network and Trans Kids Deserve Better, who very intentionally centre questions of harm rather than any theorisation around gender. My own PhD thesis (published in 2016!) and later book Understanding Trans Health deliberately set aside the question of sex/gender to focus on how trans healthcare services operate and are experiences in practice. The feminist philosopher Katharine Jenkins has done important work on how what is important about gender varies according to context, and the legal scholar Chris Dietz has extensively considered questions of governmentality in terms of how and why differing aspects of trans people’s lives are managed by different agencies of on the behalf of healthcare systems and the state.

I make this point not to try and undermine Currah or big up UK trans academia specifically. Rather, I want to note how this kind of awareness of what is already being done in different parts of the world highlights why a truly international approach to trans studies is so vital.     

The next talk was by Siobhan Guerrero Mc Manus. Unfortunately I – and many other attendees – missed much of her talk due to an apparent failure by the translation company hired to support the conference. This was an enormous pity given what I did catch felt extremely important, and built on the critiques of Currah that were bubbling away in my brain during his talk.

Guerro Mc Manus emphasised the importance of organising across borders, with the example of taking successful trans liberation strategies from Mexico, adapting these in a Colombian context, and then again in Peru. Conversely, she described the example of how work on reforming the criminal code in Colombia informed trans activism in Mexico. In this kind of organising and exchange of ideas, reflections from the Global South might be combined with insights from the North, without simply reproducing Global North theory in a way that is not necessarily applicable to countries such as Mexico.

I wish I had heard more of these presentation! I feel the International Trans Conference’s investment in both live translators and translation through transcription software is an incredibly important move, and should set the tone for future events in the field (or “post-discipline”, if you prefer). At the same time, it is important to get this right lest non-Anglophone perspectives are further marginalised through technical error. While I just missed large parts of this one talk, attendees who were not fluent in English may have missed much more from the other speakers. I definitely felt for the organisers, speakers, and fellow attendees, and hope these problems will spur future work to further improve our communication across languages and borders.

The plenary closed with a short address from TJ Billard. Billard explained how the choice of conference theme was informed by the “first” International Trans Studies Conference, which took place in Arizona in 2016, “riding the high of the transgender tipping point” just months before the election of Donald Trump. An enormous amount has changed in the last eight years, and the time is ripe for a re-appraisal.

Billard’s use of the term “post-discipline” draws on the work of John David Brewer. Brewer describes post-discipline thinking as knowledge about a phenomena that is detached from disciplinary allegiances, instead emphasising theoretical and methodological pluralism, political investments, and ethical values.

The emphasis is therefore less on academic siloing, and more on real problems facing contemporary society.  This couldn’t be more appropriate for trans studies, especially in the context of the insights shared by the other speakers.


Some final thoughts

The first “day” of the conference was really just an evening: the opening plenary, plus a reception where the in-person attendees got to spend time meeting and catching up with one another (some of the most important academic work!) I am finishing this monster post at the end of the second day of the conference, a true marathon which ran from 8:30am (when registration opened) to 9pm (when a reception and 10th anniversary celebration hosted by the journal Transgender Studies Quarterly theoretically wrapped up). It’s difficult to capture the sheer scope of this event: indeed, this series of posts can only possibly touch upon the vast amount of knowledge and information we are discussing at the conference.

For all that I (and others) have shared several critiques, I am hugely grateful this event is happening, and feel very privileged to attend in person. I couldn’t be happier to be a gender deviant, and hope to repeat the value-based work of resistance over and over.

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Returning home for Bath Pride

This year saw the city of Bath’s first ever Pride march. It felt long overdue, but also an unthinkable impossibility come to life.

Photo of Bath Pride march


I was born and grew up in Bath, before moving to Coventry for university. While some of my friends were eager to leave Bath for more exciting places, I loved the city deeply – and still do.

I was very ambivalent about moving. Growing up on the outskirts, I felt deeply connected to the landscape: the hills, the woods, the little hidden valleys and streams. Meanwhile, Bath’s deep human history felt ever-present as I dodged tourists in the Georgian streets, sauntered past the Roman Baths, and climbed past Iron Age fortifications on Solsbury Hill. As a teenager, I went to grunge gigs in listed buildings, and wandered down country lanes to parties in distant farm fields.

I have written a few times recently about some of my experiences as a young queer person in Bath. These were the last days of Section 28. My school was a hotbed of homophobia, and I lived in a void of information. In many ways, I felt so incredibly, utterly isolated. At the same time, I received invaluable support at a very vulnerable time in my life: from friends who had my back unconditionally as I came out as trans and bisexual, from teachers who found quiet ways to support me, and from Off The Record‘s free counselling service for young people,. Bath is home to small-town conservative values but also has a strong liberal streak, and this complexity really was reflected in my experiences.

I didn’t really know what Pride was, what Pride was for until years after I left my childhood home. It wasn’t until I was a young adult that I really gained an understanding of queer community, of the healing power of both protest and celebration, and of the sheer joy of mass togetherness. That wasn’t ever something that felt conceivable for me in Bath, let alone possible.

But of course, as I grew older and changed, so did Bath.

Photo of Ruth posing with a street sign for Gay's Hill, and a placard reading Ban Wes Streeting.


Just like every other part of the UK, more and more young people in Bath came out as lesbian, gay, bi, trans, queer, and/or asexual. Off The Record started up a dedicated LGBTQ+ youth group. In the mid-2010s, Bath had first a gay mayor and later a gay MP. From 2015, students at Bath Spa University organised their own Pride events, and in 2016, Bath Amnesty marked Pride month with a stall. In 2017, a Pride procession block joined the Bath Carnival.

I was nevertheless pretty surprised to see the first major, dedicated Bath Pride celebrations planned for this summer, on Sunday 18 August. For this to happen, you needed a critical mass of dedicated organisers, volunteers, and community members prepared to come together and make it happen. You needed enough people prepared to assemble and loudly celebrate and protest at a time of rising hatred and violence towards us. You needed to take all of this and put it on the streets of city known for its architecture, parks, and landscape, rather than any kind of political organising or protest culture.

So I returned home, to be a part of it.

Photo of four happy people at Pride.


Bath Pride was gentle, Bath Pride was beautiful, and Bath Pride was powerful. Bath Pride was a family picnic in the grounds of the Holburne Museum, a club night at Komedia, and a thousand people marching through the streets to demand our liberation.

Bath Pride was about community. I have so much respect for how much the organisers centred this in everything they did. There were no corporate floats, no major brands, no prioritising of some queer people over others. Most of the people in the march were just ordinary individuals, out solo or with their partners or friends. There was also a significant presence from groups including a local church, the city’s roller derby league, and the LGBTQ+ staff group from the Royal United Hospital. My mum volunteered as a steward.

Bath Pride was radical. It had never been done like this before, and it was done so well. While the overwhelming vibe was one of joy and celebration, this was very much a protest. Home-made placards abounded. NHS staff pointedly wore pro-trans t-shirts. A tall person with a stylish mustache wearing a cowboy hat, open pink cropped jacket and pink shorts waved a Palestinian flag in solidarity with the people of Gaza. This Pride was very Bath, but it was also about moving beyond tolerance, arguing for real liberation in a way that challenged the city’s cosy liberal consensus.

On some streets, people stood and waved or even joined in, with the march swelling as it went. On others, especially in busy shopping areas, I was reminded of the tension and threat inherent in Trans Pride, with confused or hostile looks directed our way. We were challenging people: with loud disco music, with political slogans, with our insistent presence. In the context of Bath’s politely commercial street culture, even thoroughly overbaked chants such as “trans rights are human rights” took on a new resonance. At a time when the NHS, schools, and new Labour government are actively attacking young trans people’s basic access to healthcare, education, and any level of personal autonomy, this kind of visibility couldn’t be more important.


After the march, my partner and I wandered the Holburne grounds. We admired stalls for local queer crafts, as well as community groups such as Bath Welcomes Refugees, The Diversity Trust, B&NES Fostering, and… Off The Record. I took the time to thank the people on this stall for the support I received from their organisation 20 years ago, and learned about what they are doing to support young people today.

And then we left the city centre – walking up Gay’s Hill, before taking time for a drink and apple pie at the Fairfield Arms. The pub, which has been run by a gay couple for many years now, was full of local people enjoying a Sunday roast or just hanging out in the pub garden. We had a chat with one of the landlords, who said he was a bit sad to miss the Pride event, but the weekend was always a busy time for them.

Queer lives are weaved through the very fabric of the city of Bath. We are always and have always been everywhere, quietly getting on with our day to day. But we also deserve love, recognition, community, and visibility on our own terms. That’s why Pride is so important.


Information on supporting or donating to Bath Pride, to ensure independent, and community-centred future events, can be found here.

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Amplify trans youth

This morning I logged into instagram and watched, transfixed in amazement and worry, as a young person scaled the walls of the Department for Education.

The aspiring spiderman is part of the activist group Trans Kids Deserve Better. At the time of writing they are staging a multi-day protest at the Department for Education building in London, for the right to a safe and inclusive education.

Watching the video, I fear for Squirrel, the anonymous activist who is genuinely risking their life to stop government employees from taking the group’s banner. It’s very apparent that Squirrel is a skilled climber who knows what they are doing – equally, one wrong move could result in a deadly drop to the concrete pavement. This is not safe.

But of course, the entire reason this protest is happening is because young trans people are not safe.

Trans Kids Deserve Better launched their campaign for youth autonomy, safety, respect, and inclusion in July, from a dramatically high ledge of an NHS England building. In an interview with Jess O’Thompson for Trans Writes, the emergency doctor and children’s TV presenter Dr Ronx Ikharia argued that “our young people deserve better than suffering, and shouldn’t be scaling walls”. But they added that for this to happen, trans kids must be “believed, supported, affirmed, and loved”.

And this is the crux of the issue. Under the Conservative and Labour governments, we have seen a policy environment in which teachers, doctors, therapists and parents are actively discouraged or prevented from believing, supporting, affirming, or loving young trans people. Instead, families face prison sentences for supporting young people’s continued access to medication, NHS England is expanding the provision of state-funded conversion clinics, and a growing number of schools are refusing to allow even the discussion of trans experiences.

Trans kids are not safe because they have been entirely failed by the adult world. They have been failed by politicians, failed by civil servants, failed by the NHS, failed by the voluntary sector, failed by researchers, and in many cases also failed by their doctors, teachers, and parents or carers. This is why the activists from Trans Kids Deserve Better are literally scaling walls in their fight for an actual future.

Looking at the challenges facing young trans people, it can be easy to lose hope. But the actions of Trans Kids Deserve Better show that there is a better way. Doomerism helps nobody. The successes of successive liberation struggles have come about because people have continually dared to believe that a better world is possible, and fight for it. The young people currently sat outside the Department of Education are not bemoaning what they have lost: they are insistently demanding change.

Image from Trans Kids Deserve Better

What can we do? In their conversation with O’Thompson, activists from Trans Kids Deserve Better explained that while trans adults often want to “protect” trans youth, they would rather we “amplify” them: “we don’t need sympathy, we need support”. This is a call to action, with a focus on solidarity, rather than trying to speak for young people or bemoan their situation.

Many adult trans people and allies have complained about the lack of mainstream media coverage for the actions of Trans Kids Deserve Better. But we should not simply wait for the papers or news programmes to start caring. It’s up to us to talk about what’s happening. Today’s queer and trans communities only exist at scale because we made our own media, told our own stories, and forced the mainstream to catch up.

So I encourage everyone who reads this to share the story of what is happening. Share it on social media, share it with friends and family, share it in conversations at work and in bars and in cafes and in parks and at gigs and festivals. A few days ago I was at a pub in Bath, fresh from Pride, still holding a placard that read “Ban Wes Streeting” (copied shamelessly from someone else in Glasgow a couple of weeks prior). Someone asked what Wes Streeting had done, so I told her. She was appalled, but grateful to have learned what is happening, and better informed to act. Information spreads when we spread information.

Trans Kids Deserve Better are also hoping that more people will contribute to their actions. You can sign up as a supporter, stay updated from their Instagram account, or contribute to their fundraiser.

If you, like me, would rather not see young people risking life and limb by climbing public buildings, it is time to fight with them, not “for” them. Together we can build a safer world.

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Out now in Scientific American: “The U.K.’s Cass Review Badly Fails Trans Children”

I have co-authored an article with Cal Horton for the science magazine Scientific American. We take a concise look at what the Cass Review is, what it found, why the methods used were troubling, and how it is being used to harm young people.

You can read the article here. I hope it will be helpful as a basic explainer for why trans community groups, academic experts, and clinical specialists are so concerned about the Cass Review.

Screenshot of Scientific American website.

Writing for Scientific American was a really interesting experience. It was of course radically different to publishing in a peer-reviewed journal: we put the piece together in a matter of weeks, and it was not scrutinised by academic experts from our specific field of study. At the same time, there was an extremely rigorous editorial, fact-checking, and copyediting process that also made it very different to publishing in most magazines or newspapers.

I was deeply impressed with the sheer amount of time and care the Sci Am editors put into this piece. On one hand, their contributions ensured the piece is written in accessible language, with an international (and especially US-based) readership in mind. On the other hand, we had extensive discussions to ensure that all points made in the article could be rigorously evidenced, including some very detailed exchanges about the specifics of UK law, and what exactly the Cass Review document does and does not have to say about exponential growth over different periods of time. We had to be able to strongly back up any even slightly contentious point.

It was a challenging experience, but one I felt very held by as an author committed to consciencious research practice. Publishing this piece in Sci Am definitely ensured that it was as good as it could possibly be.

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Community Development Journal: Issue 59(3) out now

One element of my work I don’t talk about as much on this blog is my role as co-editor of the Community Development Journal. We put out four issues every year featuring amazing research from across the world, so I’m hoping to highlight this a bit more in future posts.

Volume 59, Issue 3 is out now and features articles on a range of topics from violent protest, to public art, to academic/voluntary partnerships – with contributions from South Africa, the Philippines, the UK, India, Canada, Vietnam, Mexico, Portugal, and Italy. As ever, it’s been hugely exciting to work with and learn from such a broad range of insight and expertise.

In addition to overseeing the peer review process, myself and co-editor Kirsty Lohman write an editorial for every issue. This editorial – one of five freely available articles in the latest issue – celebrates the launch of the new CDJ Plus website and reflects on the privileges and limitations of academic publishing. In particular, we discuss the importance and limitations of using our platform to speak out about the ongoing colonial violence in contexts such as Gaza and Ukraine.

You can read that editorial here:

Academic publishing and the privilege of a platform
by Ruth Pearce and Kirsty Lohman

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New article: Trans Birth Parents’ Experiences of Domestic Violence

Through 2018 and 2019, I travelled across the UK and Germany to speak with trans men and non-binary people about their experiences of pregnancy and childbirth.

These research interviews for the Trans Pregnancy Project took place in kitchens, living rooms, and cafes, next to canals and rivers. We covered topics ranging from conception to pregnancy loss, taking in questions of masculinity and the body, relationships with family, friends, workplaces and social groups, interactions with medical practitioners, and people’s journeys through perinatal services.

I remain deeply honoured to have been trusted by participants to share and analyse their stories. The questions planned by our project team touched on deeply intimate and sometimes traumatic experiences, as well as joyful accounts of kinship and bringing new life into the world. These were by design long, deep discussions, covering a great range of issues that have been rarely discussed in academic literature to date.

And sometimes, an unexpected conversation would happen.

We – the research team – did not plan to study domestic violence. Instead, this topic was introduced by research participants. I will never forget the first time this happened, silently putting aside my planned questions as the man in front of me quietly, carefully disclosed what had happened to him, and how it intimately shaped his experience of pregnancy.

As others shared their stories in turn, I began to realise just how important these narratives are, and the need for peer-reviewed work that explored them in detail. The resulting article is now available following a long gestation period (pun intentional). I hope it will useful to a range of practitioners – educators, crisis workers, midwives, obstetricians, doulas, family doctors – as well as to academics and, most importantly, community members.

Read now for free:
Trans Birth Parents’ Experiences of Domestic Violence
Conditional Affirmation, Cisgenderist Coercion, and the Transformative Potential of Perinatal Care
by Ruth Pearce, Carla Pfeffer, Damien W Riggs, Francis Ray White, and Sally Hines


I am also really pleased that we have published in the “platinum open access” journal Bulletin of Applied Transgender Studies. Launched in 2022 and hosted by Northwestern University Libraries, the journal is free to publish in and free to read, with articles shared under a creative commons license. We found this publication route offered an extremely rigorous double-anonymous peer review that really challenged us, and ultimately strengthened our arguments and use of evidence. Given the exploitation and profiteering that is rife in the academic publishing industry, supporting new journals such as the Bulletin feels like an important political move as well as the right scholarly decision.

Journal logo

Please do share this article in any context you feel it will be helpful to others. Remember, under the license anyone can distribute it as-is for non-commercial reasons: so download, print, and pass it around to your heart’s content.

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New page on the Cass Review

Since I am getting a lot of interest on the topic of the Cass Review lately, I have created a dedicated new page for this website, accessible through the menu bar.

You can access my new page on the Cass Review here.

The page contains links to blog posts and media I have produced on the Cass Review, including my round up of evidence and and commentary from external sources. I will update it with any new writing or media as they happen. My aim is to ensure that all of this material is easy to find for people who land on my website, without having to scroll through the blog archives.

I don’t intend to keep the page up forever, as this site is primarily intended as a repository for my own work and interests. I am genuinely not very interested in the Cass Review, insofar as it is a collection of turgid documents with little to offer to the field of trans healthcare. However, I believe the disproportionate political interest in the Cass Review’s recommendations (actual and imaginary) warrants careful academic attention from those of us working in this area.

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Trans Kids Deserve Better – protest at NHS HQ

Young trans people have been leading an incredible protest at Wellington House, the London headquarters of NHS England. They have been holding space on a ledge of the front facade since London Pride on Saturday 29 June.

The protesters will be coming down today (Tuesday 2 July) and have called for supporters in London to join them at a rally from 4pm.

Photo of a group of people sitting on a ledge of a building, with towering pillars and glass windows behind them. They are holding a large banner which reads "We are not pawns for your politics". They have decorated with the windows of the building with trans flags, placards, and the words "trans kids deserve better".


The action powerfully highlights the repeated failure of UK politicians, the mainstream media, and NHS bodies to truly listen to young trans people about their experiences and needs. This is perhaps most powerfully seen in the Cass Review, which has systematically excluded expertise and evidence from trans people in formulating its recommendations, and in trans healthcare bans implemented for under-18s in England in Scotland. Meanwhile, the Labour party are promising to uphold these bans and implement a range of deeply transphobic policies should they win the election on 4 July.

These concerns are powerfully highlights by the protesters themselves. In Diva, a 17 year old activist explains:

“Decisions are being taken that affect our lives without any trans people in the room, let alone trans young people. Too often trans kids are portrayed as a monolith of confused, depressed teenagers. We are denied choice and robbed of our autonomy. But we should be trusted to make the same decisions about our healthcare that all people are. 

In every other way I am trusted when I tell people what I want to do with my life. But not now. There is so much real anger out there and we hope our actions will encourage others to fight for a voice, and the healthcare and dignity that we are currently denied.”

Another protester explained to Pink News:

“We are staging this protest to remind politicians and voters that we’re real kids, not just political talking points. We may not have a vote, but it is our lives that are at stake. Gender-affirming healthcare is a matter of life and death for us and we hope our actions will bring awareness to this fact and encourage others to fight for the healthcare and dignity we are so shamefully denied.”

As a former youth activist working in this field for almost two years now, I am hugely heartened and inspired by this powerful protest. In the face of institutionalised violence and silencing, young trans people are seizing the narrative. It is up to us adults to listen, learn, and fight alongside them.

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Podcast: Reviewing the Cass Review

I am featured in the most recent episode of Red Medicine, a podcast about the politics of health, medicine, and the body.

The interview features a deep dive into the Cass Review, including the contexts of trans healthcare and the anti-trans moral panic, as well as the underlying assumptions and methodological shortcomings of Review’s final report on healthcare for trans and gender-questioning young people. We explore how the Review is constructed as credible in spite of its flaws, plus how and why that is dangerous both for young trans people and for good science.

You can listen to the report through the Simplecast link above, or alternatively through Apple Podcasts or Spotify.

More information on the topic is available in my post What’s wrong with the Cass Review?

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Remembering Lynn Conway

Lynn Conway in 2006. Photo by Charles Rogers.

I was sad to hear last week of Lynn Conway’s passing, at the age of 86. Equally, I’m extremely glad she got to live such a long and impactful life. She was an important pioneer in the field of computer science, where her innovations contributed to the development of the microchips we use in so much of our technology. She also played a vital role in promoting women’s careers in STEM, and in providing information for trans people at the turn of the century.

During the early 2000s, Conway uploaded a substantial amount of information about trans lives and transition to her personal website. This material was hugely important to a great number of people, while also reproducing certain forms of transnormativity and stereotypical notions of “success”.

For example, while there was some diversity among the women listed on her pages of “transsexual women’s successes“, most are white, cis-passing, and occupied middle-class professions.

I came across Conway’s site around the time I was coming out to myself as a teenage trans girl. Having grown up in a void of information about trans people’s lives, her website both created a sense of possibility, and made transition seem more fantastical and distant.

Nevertheless, I’ll always remain grateful for what Conway did for trans people, as well as so many others. The resources she put online, for free, were created with love, care, and hope for the future. That’s an example I am committed to following through my own life.