(In)Equality and Beyond: Achieving Justice in Gender-Affirming Hormone Initiation.

ABSTRACT: The World Professional Association for Transgender Health (WPATH) is an international organization that aims to advocate for transgender and gender-diverse (TGD) people by promoting safe and effective ways to access and deliver healthcare to maximize psychological health and well-being. One way this is achieved is through the WPATH's published Standards of Care for the Health of Transsexual, Transgender, and Gender Nonconforming People, a set of guidelines for gender-affirming care that is based on the available science and expert consensus. In anticipation of the release of updated guidelines (Standards of Care Version 8) in 2022 the Radcliffe Institute for Advanced Study at Harvard University hosted an Exploratory Seminar in December 2021 that brought together experts from the United States, Mexico, and the United Kingdom to share knowledge across disciplines in order to propose revisions to the WPATH's updated guidelines. This article shares the workgroup's high-level consensus and recommendations.

Toward a historiography of the lesbian transsexual, or the TERF's nightmare.

This essay asks after the possibility of making the transsexual lesbian signify as a historical mode of sexuality, as a contribution to an anti-TERF method in trans and lesbian studies. What logics of mid twentieth century gender and sexuality are responsible for the opacity of transsexual and transvestite lesbians prior to the 1970s, despite the ample evidence that desire between femmes played a central role in trans social life? To move towards such a historiography and method, the author considers two paradigmatically difficult cases. First, Louise Lawrence, a well-known trans women in the San Francisco Bay Area who transitioned entirely do-it-yourself in 1944, and whose long term relationship with a partner, Gay Elkins, is high opaque in the archival record. Second, the essay considers the compulsory heterosexuality embedded in the medical logic of transsexuality in the 1960s, arguing that the medical ontology of the transsexual vagina was itself dependent upon the avowal of its immediate and exclusive use for penetration by straight men, making transsexual lesbians implausible despite their evident existence.