I’m featured in the voiceover of this trailer for the forthcoming documentary TERF Island! You can hear me reflect briefly on the limitations of trans liberalism, as well as the threat posed to the cis / sexist world order by the possibility of real liberation.
TERF Island will explore trans people’s every lives in the UK, looking at everyday experiences of art, culture, and community against the backdrop of rising hatred and discrimination. I have contributed by sharing some of my research with the creators at Hissing Goose Films. The film also features contributions from a range of amazing groups and people, including Cheap Dirty Horse, transkaters, Tribe Incorporated, CAMP Wrestling, Olivia Campbell Cavendish, Jazmeen Qureshi, What The Trans, and Shivani Dave.
Hissing Goose are now crowdfunding to finish off the film. You can learn more here.
Please do share and/or donate to the crowdfunding page if you can!
I’m currently in the middle of a busy fortnight for work-related travel (more on that soon!) But last night, I managed to make the most of a brief return to Glasgow.
The occasion was There Will Be Blood! a fundraiser at Stereo for the brilliant group Trans Healthcare Access Glasgow. They are helping to provide free laboratory testing for bloods. This is really important for trans people on HRT who are increasingly denied monitoring by GPs. If you couldn’t make it but would still like to donate, you can do so here.
The organisers put together a fantastic lineup and there was a great turnout – especially for a Monday night. It was exciting to see so much talent from within our community, and loads of people come out to support both the cause and a pretty eclectic collection of artists. And exciting for me to be a part of it, performing a DJ set as ROGD.
In which I am going for it. Photo by Onni Gust.
The night kicked off with a luscious set from singer-songwriter and drag artist Sersi. He’s probably the first person I’ve ever seen sport a Britney mic at a DIY gig, which was very cool but sadly couldn’t quite capture the sheer dynamic range of his vocals on the night. At the same time, it enabled him to completely own the stage for a series of ballads that were by turns beautiful and strange. Sersi was ably supported by a pal with a laptop, and Johanna Kirkpatrick (of trad folk bands Chanterelle and Madderam) looking dead dykey on acoustic guitar.
Next to take the stage were Deep Filff. I hadn’t had a chance to look them up before the gig so had zero idea what to expect, although they did arrive with an absolutely enormous inflatable swan. Deep Filff turned out to be a two piece, with Nadia Fiffsky playing bass and belting out epic sun-baked vocals, while Jenny Tingle methodically destroyed the drumkit. As purveyors of some of the dirtiest psychedelic grunge-punk riffs I think I’ve ever heard, they were extremely well-named. It was engrossing, hypnotic stuff. Eventually the swan came out and bounced around the audience, most likely representing a serious hazard to some of the important-looking wires and glitterball hanging from the ceiling.
Local heroes comfortnever fail to disappoint, and this evening they truly tore up the stage as the final live act of the evening. The sibling duo have a truly unique sound, with Natalie’s staccato vocals punctuating a skitterish soundscape of totally artificial electronic sounds, underpinned by Sean’s assertive drumming. It was impossible not to dance. My favourite moments came whenever the band’s weird, abrasive noise would suddenly gave way to a transcendentally beautiful synth melody for a minute or two, before we all dived collectively back into the tumult.
Finally, following a quick raffle, I was up! The gig was due to end at a remarkably civilised 10pm, so I had a tight half hour DJ set.
I’ve thought a lot since returning to DJing that the landscape of queer and feminist music and activism has completely changed. Back in the day, I used to do quite a few “Women’s Voices” DJ sets, especially for feminist events such as Reclaim The Night afterparties, and the woman-only Women’s Aid and NUS Women’s Conference discos. The idea was that every song played (sometimes for sets of up to four or five hours) had a woman on lead vocals, and ideally women also playing instruments. Finn Mackayalways used to refer to me as “feministDJRuthPearce” (all in one breath!) which was never failed to be delightful.
Unfortunately, many of the people who were only too happy to join the dancefloor for those events are now either actively backing trans-exclusionary politics and the grossest forms of transmisogyny, or otherwise failing to speak out again them. (Junior equalities minister Liv Bailey, I’m looking at you – remember when you hoped I’d DJ your wedding one day?!) It’s odd to reflect on just how normal it was for trans women to be involved in woman-only politics spaces in the UK, given the extremity of the post-2017 moral panic.
Anyway, I digress.
Another thing that has happened over the last decade is the enormous influx of excellent trans artists to both underground and mainstream music scenes. We live in an age where I listened to jasmine.4.tfor the first time because my mum told me she’d done a good interview with Craig Charles on BBC 6 Music(!) So, while I’d like to do more Women’s Voices DJ sets in the future, for the first time it felt realistic to put together a Trans Voices set, with a mixture of tunes fronted by trans women and men, and/or non-binary, genderqueer, or genderfluid people, that I could reasonably expect a large number of people in the audience to be familiar with.
So, here’s what I played:
Shopping – The Hype My Chemical Romance – Teenagers 100 gecs – mememe SOPHIE – Immaterial underscores – Locals (Girls Like Us) [with gabby start] Kae Tempest – Move Ada Rook – BURY YOURSELF Janelle Monáe – Make Me Feel jasmine.4.t – Guy Fawkes Tesco Dissociation G.L.O.S.S. – Outlaw Stomp Against Me! – True Trans Soul Rebel
Obviously I could have kept going a lot longer, but I’ve got to say, it was one heck of a half hour. I have such enormous love for everyone who joined me to dance their arse off on a Monday night. And if you’d like me to DJ your event – I’m officially back behind the decks, so do get in touch!
In May 1988, the Conservative government introduced Section 28. This legal measure outlawed support for “homosexuality as a pretended family relationship” across Britain, especially in schools. While Section 28 was eventually repealed between 2000 and 2003, it has had a long legacy of harm. Most LGBTIQ+ people who lived through it have never forgiven the politicians responsible.
In February 2026, following a similar pattern of escalating moral panic and extremist rhetoric against trans people (including non- binary people), the Labour government looks set to introduce its own version of Section 28, in the form of proposed revisions to the guidance on “keeping children safe in education” in England. These proposals seek to erase trans children: through extreme restrictions on social transition, toilet and sports bans, and censorship of the word “trans” itself. Like Section 28, they will most likely also create a wider chilling effect, reducing support for lesbian, gay, bi, and gender-nonconforming young people as well.
There are some important differences between the situation in the 1980s and today. Section 28 provided a strong rallying point for action in part because it was a single, explicitly homophobic, and powerfully impactful legal clause. Labour’s transphobiahas been a lot more piecemeal, and complicated by an endless series of messy court cases, including this week’s extremely unclear High Court ruling on proposed segregation measures in the workplace and public services. Meanwhile, many Labour politicians continue to claim that they oppose transphobia, even as they support the most actively transphobic government in British history.
It is for this reason that we need to be loud, clear, and explicit about the active danger posed by Labour government policy. And this danger is explicit in the new proposals for “keeping children safe in education”.
“Keeping children safe in education” is statutory guidance for schools in colleges in England. As “statutory” guidance, the document effectively operates as part of English law. It is regularly updated by UK governments, and the Labour government is now consulting on proposed revisions for 2026.
It is these proposed revisions that pose a threat to the safety of young trans people.
Importantly, this is not the same as the draft non-statutory guidance on “Gender Questioning Children” introduced by the Conservative government in late 2023. That guidance was not law, and was never formally adopted by the government – although in practice, many schools changed their policies and practice because of it.
However, Labour’s new proposed revisions to the guidance on “keeping children safe” are clearly influenced by that Conservative document, as well as the Cass Review, and the 2025 anti-trans Supreme Court judgementin For Women Scotland vs The Scottish Ministers.
In 2023 I outlined some key issues with the Conservative guidance. Here are those points, with notes on what has changed or been kept the same, as Labour seek to bring the Tory proposals into law.
Trans students are presented as an implicit danger to themselves and others. This is still effectively the case in the 2026 proposals, which position a young person coming out as a major safeguarding issue.
Schools are told to out trans students. This is still effectively the case in the 2026 proposals, which ban measures to protect trans students’ privacy (see toilets and changing rooms) and encourage schools to tell parents if their child is is “questioning their gender”.
Schools are encouraged to intentionally misgender students. This is still effectively the case in the 2026 proposals, which draw on the Cass Review to discourage support for social transition.
Schools are told to ban trans girls from girls’ toilets and changing rooms, and ban trans boys from boys’ toilets and changing rooms. This point is made even more strongly in the 2026 proposals, which draw on the 2025 Supreme Court decision to call for a complete trans toilet ban.
School uniforms should be worn according to “biological sex”. This is one of the few Tory proposals which has been dropped from the 2026 proposals. The new proposals instead state that schools and colleges “should consider adopting policies across school and college life that maintain flexibility and avoid rigid rules based on gender stereotypes”.
For sports, schools are told to “adopt clear rules which mandate separate-sex participation”. This is still the case in the 2026 proposals, which explicitly ban participation “in sports designated for the opposite sex”.
The guidance entirely ignores legal protections for young trans people. This is almost entirely the case for the 2026 proposals, which acknowledge possible Equality Act protections on the grounds of “gender reassignment” in one short footnote.
The guidance does not actually use the word “trans” once. This is still the case in the 2026 proposals. Young trans people are instead referred to as “gender questioning“. The document also uses the term “LGB” instead of “LGBT”. The language of trans or non-binary identity and experience is entirely erased.
Safeguarding and risk
“Keeping children safe in education” is a safeguarding document. The idea of the guidance is to manage risk, and help prevent harm to young people. Yet the Labour government’s proposed changes will have the opposite effect.
Discrimination and exclusion hurts people, especially young people. If implemented, the new guidelines will ensure that schools cannot possibly be an affirming or safe space for young trans people. Trans Kids Deserve Better, a campaign group run by and for young trans people, explain how harmful this is in their post “We demand the Department for Education axes its transphobic guidance”:
[The proposed guidance] does not centre the wellbeing of trans kids, rather this puts us through scrutiny and invasive questioning when we need support. The guidance of course neglects to mention the negative mental health effects for being denied a social transition. As one adult who was only able to transition later in life said, “Social transition as a kid would’ve let me be a kid – figuring out what kind of person I was and how I related to the world around me. Instead, I only knew that I was different and weird, isolated and stunted. It took me a full decade of self-loathing in adulthood to begin unpacking everything and growing into myself in the way I should’ve been allowed to so much earlier.”
This will be especially dangerous for the many young trans people who do not have a safe home environment, due to the transphobia of their parents, carers, or guardians. My own research has shown how an absence of affirmation can put young trans people at risk of sexual exploitation and statutory rape. These risks can be mitigated where people are able to socially transition in a safe, supportive environment.
This leads me on to the biggest issue with the proposed guidelines: their fearmongering and misinformation around social transition.
Social transition
Social transition describes a range of things a person might do to affirm their own gender. These things might include: a change of clothes or haircut, a change of name, and/or a change in pronouns. Social transition describes a series of choices that are linked to coming out as trans or otherwise gender diverse (e.g. non-binary, genderqueer, genderfluid). Social transition can also be a stage of experimentation or questioning, where young people figure out what is right for themselves. The changes we make may be temporary, or permanent: but regardless, these are deeply personal decisions.
In the Labour government’s proposed changes to the “Keeping children safe in education”, social transition is represented as a problem. The document recommends that “Schools and colleges should take a very careful approach”, and that “Primary schools should exercise particular caution, and we would expect support for full social transition to be agreed very rarely”. It further states that “a [school’s] decision relating to social transition may not be the same as a child’s wishes”.
This guidance is justified through reference to the final report of the Cass Review, a document which pathologises social transition by insisting that it should only be undertaken with medical guidance. This recommendation is as dangerous as it is offensive. Social transition is a personal decision linked to coming out. Doctors should have no role in deciding how someone dresses, or what name or pronoun they use.
The Cass Review has beenwidely discredited and condemned globally by researchers, medical practitioners, and community groups with relevant experience and expertise. This is in part because its most controversial recommendations are informed by pseudoscience and misrepresentation of evidence. For example, the Cass Review found no actual evidence of harm caused by social transition. Instead, it positions transition as a problem in and of itself. Its recommendations have been adopted as part of an eliminationist drive to erase trans existence entirely.
“Trans children need to be supported and respected in order to be safe at school, in order to access their right to education, in order to enjoy their childhood. Instead, we are seeing a complete ban on access to appropriate toilets, PE, accommodation on school trips, a complete erosion of their rights. It will lead to children avoiding the bathroom, avoiding exercise, missing out on school trips, dropping out of school, losing any hope of education, equality, friendship, happiness.“
I agree with Dr Horton. Furthermore, I believe these are the intended outcomes of the new Labour government proposals. As with Section 28, young people are presented with a choice between state-mandated abuse, or staying in the closet. The overall aim is to stop trans children from existing altogether.
As with Section 28, these hateful guidelines will never fully succeed in their aims. If implemented, they will certainly cause enormous harm. Yet trans kids are powerful and know their own minds, and many will continue to come out.
It is incumbent on us to fight with them for liberation.
Act by 22 April
We have two months to fight back against the Labour government’s new Section 28, as a consultation on the proposed guidelines is open until Wednesday 22 April.
One of the most obvious things you can do is respond to the consultation. This will likely be a long and discouraging process, so if you choose to respond, I encourage you to give yourself as much time as possible to work on it.
A really good consultation response guide has been jointly prepared by The Proud Trust, Allsorts, and The Kite Trust.
You can find the UK Government’s consultation page here. Note that they are consulting on a series of wider changes to the “Keeping children safe in education” guidance, not just the section on “gender questioning children”. Scroll to the bottom of the page for consultation document, full draft guidance, and a summary document.
At the same time, you may quite reasonably distrust government consultation processes at this point. I know I do. The consultation on the EHRC’s trans segregation plans last summer received approximately 50,000 responses, which were fed into AI instead of being read by human beings. If media reports from the likes of The Times are to be believed, the EHRC then simply produced the same hostile guidelines they were planning to all along.
Fortunately, there are a lot of other things you can do to oppose Labour’s new Section 28, including:
Writing to your MP
Organising against the proposals within your union
Organising against the proposals with other parents or students
Asking your local school’s headteacher or board of governors to speak out against it
Banning the Labour Party from your local Pride (if they’re not already banned!)
Planning or supporting protests against the Government, Department for Education, and Labour Party
I’ve written about these ideas and more in two previous blogs posts. Both are also available as downloadable zines, so feel free to share these freely, either as PDFs or through printing them out and sharing them around.
I am hoping to update the first one at some point to more explicitly address the latest proposals. However, I am not realistically sure when I will have the time or capacity. You are therefore welcome to create your own updated version too if you want, as long as you don’t sell it for profit, or misrepresent any of my original words or messages.
If you seek to understand criticisms of the Cass Review, or collate evidence for sharing others, I am maintaining an ever-growing roundup of academic research, commentary from medical experts, and statements from community groups here:
Alternatively, Abigail Thorn of Philosophy Tube has produced a fantastic, accessible video on conversion practices, which includes strong sections on the Cass Review and current UK government policy:
None of this succeeded in stopping Section 28. But it did provide the initial momentum for a long, gruelling, yet eventually entirely successful campaign for its repeal. In the process, an entirely new wave of campaigning groups and activists emerged – including Queer Youth Network, where I cut my own teeth as a young campaigner.
The Conservative Party, meanwhile, never fully shook off the legacy of Section 28. They are still distrusted by many queer and trans voters for the harm they caused to entire generations.
If the Labour Party similarly proceeds with its plans for trans segregation and erasure in schools and beyond, we must never forget. Their legacy will be one of bigotry and hatred – and it is up to us to ensure their policies fail.
[post updated 21/03/26, adding the consultation guide from The Proud Trust, Allsorts, and The Kite Trust, and a link to the new Philosophy Tube video on conversion practices]
I have a new article out, co-authored with Dr Cal Horton. It’s about the incorporation of UN convention rights into Scottish law, and what this should (in theory) mean for trans children in Scotland and beyond. The article is totally open access so anyone can read, download, and share it anywhere. You can peruse a copy right here:
In recent years I’ve felt increasingly critical of human rights as an artificial framework for behaviour, which is frequently ignored or manipulated by those in power. As Nat Raha and Mijke van der Drift put it, these are “human rights for human resources”. Nevertheless, the UN Convention on the Rights of the Child (UNCRC) is now part of Scottish law, and Scottish children and policymakers alike are being informed that this conveys certain expectations for how young people are to be treated.
Cal and I believe it is important to reflect on what this all means for people seeking to work in a humane way with trans children, in Scotland and beyond. In particular, we emphasise the importance of directly involving young people in conversations and decision-making about their own lives. We draw on the demands of young people themselves in doing so, including groups such as Trans Kids Deserve Better Scotland, who note that policymakers have actively ignored young trans people by “by shutting trans bodies and voices out of every room that matters [and] pretending we don’t exist.”
This weekend also sees the publication of an interview I did for the Herald about the UNCRC article. In this, I discuss the findings of my research with Cal. I also reflect more generally on the situation faced by trans studies researchers, in which it is increasingly hard to conduct trans-positive research even as the UK government and funding bodies throw millionsofpounds at anti-trans researchers.
We end the interview with key three takeaways regarding what can be done to protect the rights of trans children, in Scotland and beyond:
“Number one would be to genuinely consult with young trans people and ask what they want and need. They deserve real and meaningful consultation.
“Number two is that there is a huge amount of knowledge that already exists, both on young trans people’s experiences and on how to consult with young people. Draw on the knowledge that already exists.
“And number three is to acknowledge that there is a trans-eliminationist movement. Acknowledge that there is an active attempt to stop anyone from doing the first two things.
“There’s an active attempt to stop any anyone taking seriously what young trans people have to say about their own lives, and an active attempt to stop any accessing of existing knowledge, and that comes from a place of prejudice.
“One of your starting points has to be acknowledging that that exists.”
For this piece of writing, we were particularly interested in how embodiment is gendered and vice-versa. In the article, we draw on interviews with trans men and non-binary people to explore the lived, bodily complexities of trans pregnancy. We consider the strategies trans men and non-binary people engage in to manage their gender presentation during pregnancy, and the degree to which pregnancy might disrupt their ability to control the presentation of gender.
The published article is currently behind a paywall, but you can download a free version here from the University of Glasgow’s Enlighten repository, or from the publications page of this website.
This is likely to be the last published article from the Trans Pregnancy Project, an international study which ran 2017-2021. Together we have written around 15(!) other articles and book chapters, and edited a special issue of the International Journal of Transgender Health. You can learn more on the Trans Pregnancy Project website.
The Equality and Human Rights Commission’s segregation consultation is a horrible document to look at. But if you’re planning to fill it in, you needn’t do so alone.
Tomorrow evening (Tuesday 10th June) I’ll be joining Katy Montgomerie on her livestream from 8pm to talk about and work through the EHRC consultation. We’ll hopefully make the process that bit less grim together, and also highlight other important and perhaps even joyous things that are going on.
If you can’t make it, Katy will also hopefully be able to put a recording of the stream up on her channel at a later point.
On the evening of Tuesday 15th April 2025, I was widely perceived to be a British lesbian, both legally and socially. By 11am the following day, that was no longer the case, following a ruling by the UK’s Supreme Court.
I was not actually in the UK for this momentous occasion. I was instead in the Swiss city of Lausanne, for a workshop on standards of evidence in sex and gender policy. I was there to consider the very questions the UK’s highest court, in their supreme ignorance, had effectively dismissed. Their ruling determined that the term “sex” in the Equality Act referred to “biological sex”, which in turn should be understood as “the sex of a person at birth”. But what do we actually need to know about when we make policy around sex and gender, and what is the role of evidence in this?
The Tuesday evening found me hanging out in a second-rate Thai restaurant with Professor Sarah Lamble, an esteemed criminologist and fellow dyke. Lamble and I spent some time talking about how conspiracy theories around “disappearing lesbians” highlighted the strange ironies inherent in British anti-trans discourse. The anti-trans movement has been extremely successful in raising “reasonable concerns” around supposed problems that are completely ungrounded in reality, to the point where that reality itself begins to warp.
Mainstream political discourse in the UK increasingly reflects anti-trans claims that lesbians are somehow threatened by trans people, or are even being transed en-masse in gender clinics and youth groups. The true biological attraction between two adult human females is disrupted. Young people are tempted away from lesbianism with promises of luxurious facial hair and male privilege; meanwhile, horrifically manly and/or confusingly attractive trans dykes are introduced to the dating pool.
If these claims were true, we might expect to see some kind of reduction in the number of homosexual females. Instead, the evidence we have indicates quite the opposite. Surveys such as the Annual Population Study show a rising number of lesbians over recent years, part of a wider increase of 1.2 million in the recorded lesbian, gay, and bisexual (LGB) population of the UK. This is driven especially by young people coming out, with over 10% of people aged 16-24 identifying as LGB as of 2023.
But what about the lived reality of queer womanhood? Well, there’s great news here too: we are living in a truly historic time for sapphic culture in the UK. Proudly out lesbian and bisexual women can be found across the pop charts, on TV, and across social media. Queer bookshops are on the rise. Pop-up butch bars and new queer cafes can be found in major cities and small towns. And, excitingly, even the much-maligned lesbian bar is making a comeback, with three permanent venues and numerous occasional nights now running in London alone. It’s all got so out of hand that in 2024 the Queer Brewing company sold a juicy pale ale named Dyke Renaissance, which conveniently listed an educational series of cultural milestones on the can.
If trans people are trying to disappear lesbians, we’re doing a really bad job of it.
Meanwhile, queer cis women tend to be pretty supportive of trans people. In fact they’re one of the single most supportive demographics in the UK – which is presumably why the Equality and Human Rights Commission is, right now, attempting to ban trans dykes such as myself from associating with any more than 25 biological lesbians at any one time.
On evidence
As lesbian conspiracy theories show, the very concept of evidence has had a bit of a hard time over the past decade.
In the UK, this was perhaps best encapsulated in 2016 by the Conservative politician Michael Gove. While campaigning for Brexit, he declared that the British people “have had enough of experts”. Gove’s claim is echoed in a growing anti-intellectualism across the globe. From the mass purge of universities in Türkiye, to the post-truth bizarro world of Donald Trump, to Israel’s scholasticide in Gaza, this trend manifests in blunt and brutal ways. Anti-expert authoritarianism doesn’t care about your facts or your feelings.
However, attacks on evidence can also be more subtle. Gove’s comments are widely quoted, but it’s less well-known that he singled out a particular kind of expert for criticism: “people from organisations with acronyms saying that they know what is best and getting it consistently wrong”. While this was gloriously vague in a way that allowed the listener to project all kinds of things onto Gove’s words, in context it was nevertheless evocative of the kind of group that tends to advocate for social justice. LGBTQQIAAP groups, perhaps.
From academic thinktanks, to charities, to campaigning organisations, the implicit problem was any kind of challenge to conservative common sense. The UK’s political mainstream has since doubled-down on this approach. In the run up to the 2024 general election, Tory home secretary Suella Braverman criticised “experts and elites”, while the secretary of state for science, innovation and technology, Michelle Donelan, promised to “kick woke ideology out of science”.
One of Donelan’s targets was the “denial of biology” in research by feminists, social scientists… and biologists. The problem here is that supposedly common sense notions of sex and gender, which assume clean and tidy biological divisions between male and female, collide violently with the beautiful messy reality of the material world. At this point in history, it is well-established that sexual diversity exists throughout nature, that men are not biologically superior to women, that social advantage is not conferred or denied by chromosomes, and that queer, trans, and intersex people exist in the world. The evidence for this is gloriously multifaceted. We find it in laboratories, in systematic reviews, in surveys and questionnaires, in the way that men shout abuse at us in the streets, in how our sexed bodies shift and change under hormonal influence, in the way we feel when we finally have a language that describes our experiences.
Michelle Donelan decided to tackle the thorny problems of feminist science, intersex bodies, and trans existence by commissioning a research project by Alice Sullivan, a supposed sociologist who doesn’t care one jot for any of the evidence outlined above. Published in March 2025, the Sullivan Review insisted that data collection relating to sex and gender should rely on a very narrow definition of biological sex: one that ignores trans and intersex women’s real lives, bodies, and experiences of misogyny, while promoting a sexist model of essentialised womanhood. Her findings were echoed in those of the Supreme Court judges a month later, whose pronouncements on biological sex were made without any reference to relevant social, scientific, or philosophical research on how this might actually be understood or defined in practice.
To position this as a wholly new trend would, of course, would be inaccurate. Western jurisdictions have long used and abused pseudoscience to oppress minoritised groups, especially in colonial contexts. This can be seen for example in the British state’s shameful embrace of “race science” and eugenics in the 19th and 20th centuries. What we are now witnessing is an example of the imperial boomerang, in which the logics of colonialism are turned inwards, resulting in increasingly fascist domestic politics.
But did you have a nice time in Switzerland, Ruth?
On that fateful week in April, I joined a group of feminist, trans, and lesbian researchers and activists for the workshop at the University of Lausanne. In the face of increasingly ill-informed policymaking across multiple contexts, it provided us a space to think together about the lessons we might learn collectively from our very different work on healthcare, sports, and prisons.
One overarching theme was the importance of evidence in understanding human experience, in terms of rigorous data collection, careful analysis – and accounting for the lived reality of actual people’s actual lives. A powerful account of the latter point was provided by Dinah Bons, a veteran campaigner for HIV prevention. She pointed out that if a sex worker repeatedly attends a community clinic for her STI tests, this provides evidence that the clinic feels safe enough for her to return regularly, which is far from a given. Such matters are often highly evident to service users and providers on the ground, without any need for a survey or interview.
Another key theme at the workshop was the extent to which various principles of evidence are increasingly abused by politicians, journalists, and institutions.
The concept of evidence has not been rejected wholescale by sexist, transphobic, and lesbophobic policymakers. Rather, “evidence” is increasingly a buzzword to justify particular approaches or points of view, rather than something grounded in a commitment to scholarly standards or an acknowledgement of lived experience. At the workshop, we explored how flawed notions of evidence have been used to support misleading statements or outright lies about human bodies or human experiences. We heard about the use and abuse of evidence in justifying invasive sex-testing for woman athletes, misrepresenting research on young people’s ability to engage in informed decision-making, and defending conversion practices. Notably, while most of these abuses arose from a specifically transphobic politics, they have far wider consequences: especially for women, intersex, and queer people, but also for scientific processes, community consultations, and informed advocacy more broadly.
You can see an example of this in the Cass Review. Through successfully performing the aesthetics of acceptable expertise and science to the satisfaction of the British public, the Review has become what one workshop participant described as a black box. By this they meant that it has become an abstracted justification for policy and practice, handily replacing any ongoing discussion of evidence regarding young trans people’s health and wellbeing. You don’t need to know what the Cass Review actually says or how rigorous it actually is, only that it exists. Well-documented criticisms of the review from healthcare practitioners, academic experts, trans community groups, and (most importantly) young trans people themselves are been rendered irrelevant. The Cass Review is the evidence, and no other systematic review, original research, or personal testimony can henceforth count against it. Not, at least, until 2031 at the earliest: the official end-date of a single £10 million study, based on the Cass recommendations and featuring precisely zero trans researchers.
The British establishment is now attempting to repeat this trick with the Sullivan Review – never mind that projects such as MESSAGE have conducted more extensive and nuanced work on the same topic with a far wider group of experts – and, of course, with the Supreme Court judgement.
Beyond doom
As with Cass, as with Sullivan, it is difficult to capture the sheer enormity of harm caused by the Supreme Court’s pronouncement on biological sex. The consequences are still playing out, and will no doubt continue to do so for many awful months and years.
At the time of writing, the Equality and Human Rights Commission have proposed a programme of mass segregation, designed to discriminate against trans people in the workplace, in public services, and in social groups. The guidance they have written is just that: guidance, not law. Nevertheless, major organisations such as the Football Association, the British Transport Police, and Barclays Bank, all of whom shamelessly paraded rainbows through their social media profiles last Pride season, are falling over themselves to comply. We are witnessing the attempted complete exclusion of trans people from public life, in the latest culmination of a transparent attempt to eliminate us altogether.
In such moments, it can be easy to despair. This is in part because it is easy to forget the strength, resources, power held within trans communities and by our allies. That includes the knowledge and evidence we have access to.
Don’t get me wrong. The people who want to eliminate us are better-funded, better-connected, and now have the Labour government on-side as well as the UK’s traditional right-wing parties. We are not going to win trans liberation overnight.
But then, again, we never were.
Everything I said about lesbian culture earlier is true of trans people too. There are more of us publicly creating art and culture, more of us creating events and running nightclubs and playing in bands and writing essays (hi). There are more community groups providing mutual aid and support when charities and state bodies fail us. And, importantly, we are not alone.
Trans women and non-binary people are a part of the dyke renaissance. We are at the butch bars, and bemoaning the top shortage. We are dancing to Le Tigre and to Chappelle Roan. We are reading Gideon the Ninth and watching We Are Lady Parts and having all the feelings. My partner of the last decade was probably the most surprised of all to learn from the Supreme Court that I am not, in fact, a lesbian, as every bit of evidence from our shared personal lives points to quite the contrary.
I will concede that some trans people are not in fact lesbians, or even queer. Nevertheless, there are somany other places to find us in community with others. Trans people are in trade unions. Trans people are in workplaces. Trans people are in schools and colleges and universities. Trans people are in the streets. Trans people are on the bus. Trans people are in families. Trans people are making families. Trans people are playing football (suck it, Football Association). Trans people are eating pizza. Trans people are restoring the countryside. Trans people are hanging out beside Lake Geneva in the glorious sunshine, enjoying a much-needed break.
There are more of us than ever, and it is too damn late to put us back in a box.
Resistance is fertile
I was honoured to present the keynote presentation at the Swiss workshop. I spoke about the findings of the Trans Pregnancy Project, a study that produced enormous amounts of evidence on the experiences, needs, and perspectives of men and non-binary people who conceive, carry, and give birth.
No matter how much our findings are slammed by the media and billionaire children’s authors and washed-up comedy writers, our peer-reviewed work has demonstrated the lived reality of male and non-binary pregnancy over and over again. Most importantly, it has helped people. We are part of a far wider movement of parent groups, midwives, and researchers who are collectively building knowledge. I am constantly hearing from people who describe how much this knowledge has resulted in better care for them and their child. This kind of story drives everything I do.
Towards the end of my talk, I discussed the anti-trans moral panic, and the Supreme Court judgement. I then showed the below table of findings from the National Maternity Survey. This annual survey involves those who have recently given birth every year in many (but not all!) English hospitals, over the course of a few weeks. Since 2021, they have started asking whether the person giving birth has a different gender to the sex they were assigned at birth – i.e. are they trans?
Two things leap out from this table for me. Firstly, the 2021 data shows a very similar proportion of people indicating they are trans when compared to the 2021 censuses in Scotland, England, and Wales. This suggests that, contrary to assumptions around trans infertility or undesirability, trans men and non-binary people may well be just as likely to give birth as cis women are to become birth mothers.
Secondly, the number of trans people giving birth has risen dramatically over four years. Even as the anti-trans moral panic has deepened. Even as attacks on even recognising the existence of trans people in perinatal services have increased. As Del La Grace Volcano once it put it: “resistance is fertile!”
In the face of growing oppression, trans people are simply refusing to disappear. In fact, we are doing the opposite.
This, then, is the power that the anti-trans movement, the Labour party, and the Supreme Court cannot possibly take away from us. The more trans people are out and visible to one another, the more trans people come out and become visible to one another. Sure, we will unfortunately need to think more carefully about where and when we are out, and where and when we are visible, if this is something we even have any power over in our specific lives. I am sure that more trans people will be going stealth in future years, if they can. But regardless – there are more of us in community, more of us organising protests, and more of us than ever in the lives of our friends, families, colleagues, and allies, showing that it possible to have a good life while being trans.
In this context, it is important to know that people from many parts of the world gathered in Lausanne this April to pool our knowledge and skills and experiences. It is important to know that we have each returned to our home countries to share what we gained. It is important for people to know that similar meetings are happening across the world, in community centres and on university campuses, in board rooms and in bedrooms, involving trans people, and feminists, and yes, lesbians. We are constantly building a movement for positive change, and you do not have to be an academic or veteran activist to be a part of it. Trans power is for everyone.
There is much to say what needs doing in the current moment. We need allies to continue fighting alongside trans people for our collective liberation. We need to be demonstrating in the streets, funding mutual aid and legal action, actively resisting complicity in Labour’s eliminationist agenda, and encouraging every public body under the sun to do the same.
Evidence will be helpful for this. Evidence from academic research, sure, but also – as Dinah Bons pointed out – testimony from the everyday reality of trans people’s lives. And oh boy, do we have that evidence.
More of us than ever are producing evidence of trans existence, and trans persistence.
On 8 February 2021, Brighton and Sussex University Hospitals NHS Trust published a series of groundbreaking resources on perinatal care for trans people, written by their Gender Inclusion Midwife team. As of March 2025, the Trust no longer exists, the midwives in question work elsewhere, and the resources page was sadly taken down – a sadly all-too common experience with NHS guidance for working with marginalised peoples.
Given the importance of these materials, for which I was part of a large team of expert reviewers, I am reproducing them on my website today for Trans Day of Visibility 2025, alongside some related resources.
I hope these will be of interest and use to anyone interested in improving perinatal care for trans people, including midwives, nurses, doctors, policymakers, commissioners, advocacy groups, and of course also families and prospective parents.
Professional guidance and protocolsby the Gender Inclusion Midwives
It’s been a long four years since the Gender Inclusion Midwives resources were published. Here, therefore, are a few additional materials that may be of help to people working in this area.
National Maternity Survey data on trans birth parents Since 2021 the Care Quality Commission has collected data on gender modality as part of its annual National Maternity Survey. The most recent findings indicate a significant rise in the number of men and non-binary people giving birth since 2021, with 1.58% of 2024 respondents indicating a gender that differs from the sex they were assigned at birth. This shows that hundreds of trans people are giving birth in England every year. See: Open data > 2024 Maternity survey National tables > page g9.
Improving Trans and Non-Binary Experiences of Maternity Services (ITEMS) 2022 report published by the LGBT Foundation, looking at the findings of an English study on the experiences of 121 trans people who conceived and gave birth. It found that many trans birth parents do not feel safe sharing their identity in perinatal services, with a large proportion not feeling comfortable to access any support at all from an NHS or private midwife.
Trans Pregnancy Project website I reviewed the Gender Inclusion Midwives resources as part of my work on the Trans Pregnancy Project, which was an international study of trans people’s experiences of pregnancy and childbirth. This year we launched a new website. This includes links to all our peer-reviewed publications, on topics including conception, pregnancy loss, midwifery, gender and embodiment, domestic violence, racialisation, and media representation.
Caring for Everyone: Effective and Inclusive Communication in Perinatal Care One of the key recommendations of the Gender Inclusion Midwives’ guidance on Gender Inclusive Language in Perinatal Service is the adoption of “additive” language. This approach acknowledges male and non-binary birth parents alongside mothers, rather than simply replacing woman-centred language with a gender-neutral approach. This 2025 academic article by Matthew Cull, Jules Holroyd, and Fiona Woollard provides advice on a “pluralist” approach to language, which builds upon the additive model by offering a more contextual approach. It includes clear examples of what best practice can look like.
In early September I recieved an email from the Department for Health and Social Care, inviting me to participate in a closed consultation on the Labour government’s proposed extension of the Tory ban on puberty blockers. The deadline was 1st October 2024.
September was already extremely busy. I started the month at the International Trans Studies Conferencein Chicago, and ended it at the WPATH Symposium in Lisbon. In the meantime I was faced with various writing deadlines, administrative tasks, and the start of a new teaching semester. The small number of other academic experts and voluntary organisations who were also invited to respond no doubt faced very similar challenges with the short notice and unforgiving deadline.
Nevertheless, I scrambled to respond. Like Cal Horton, I regard government consultations on trans healthcare to be inherently abusive at this stage; as I wrote to the Nuffield Council on Bioethics in 2018, “we respond not with hope or optimism, but in fear. This is the power you wield over us”. Given the turgid vibes found in recent political discourse, I also held little hope of a long-term ban being prevented. However, it seemed worth using what little prestige I have as an academic to at least try to encourage the government to listen to actual evidence.
Trans Writes are now reporting that an extension of the ban until 2027 is on the cards for Britain, following a unanimous vote on the same by the Northern Ireland Assembly. With this in mind, I am now publicly sharing the evidence I provided in the closed consultation, plus slides from an oral presentation to the Commission on Human Medicines, who advised the Government.
I don’t think for a moment that sharing these materials will change anything in the short term. However, I feel it is important to put them in the public realm now for the sake of transparency.
Going forward, I hope the work that many of us have done in building and sharing an ethical base for the ethical provision of trans healthcare will make a difference. In the meantime, there is an important lesson here about relying on existing, unequal systems of power and control. As Nat Raha and Mijke van der Drift argue in their new book Trans Femme Futures, making demands of institutions leaves the power in their hands. It is more important than ever for trans people to build power and knowledge within our own communities, in collaboration with others.
We have survived worse in the past by sharing information, ideas, and life-changing medication between us, and we will do so again.
2024 has been a good year for the publication of articles I’ve been working on with colleagues for a long time. Hot on the heels of recent pieces on microaggressionsand domestic violence comes the latest peer-reviewed work from the Trans Pregnancy Project, published in the Journal of Applied Philosophy. It’s open access, which means you can read it for free or download a copy to share here:
The article opens with the titular question, “why is the chubby guy running?” – drawn from a story shared by a research participant who ran a 5k race while thirty-nine weeks pregnant. We use this as the starting point for exploring the topic of fatness in respect to trans men and non-binary people who experience pregnancy, addressing the gendering of both pregnancy and fatness, stereotypes associated with fat men, and how certain bodies become legible or intelligible.
A lot of research participants in the project described complex relationships to fatness during their pregnancy, especially where their bump was inaccurately read as a “beer belly”. The writing of this article was led by fat studies expert Francis Ray White; I really appreciated the opportunity to work with them on making sense of these stories, and thinking through what they might mean both for trans birth parents and for our understanding of gender and pregnancy more widely.
This is likely to be one of the last published works from the Trans Pregnancy Project (although we do have at least one more article on the way!)