Case 3:17-cv-00739-TJC-JBT Document 192 Filed 07/26/18 Page 9 of 70 PageID 10687
The Endocrine Society Clinical Practice Guideline considers the standard of care for some adults and adolescents with gender dysphoria or who seek gender affirmance to include hormone treatment which, for a transgender male, will alter the appearance of the genitals, suppress menstruation, and produce secondary sex characteristics such as increased muscle mass, increased body hair on the face, chest, and abdomen, and a deepening of the voice. Doc. 151, Pl. Ex. 30 at 18–19. Surgical interventions (including a double mastectomy and chest reconstruction for transgender men (sometimes referred to as “top surgery”) and/or genital surgery) may be appropriate and medically necessary for some patients, but may be delayed until the age of legal majority because, unlike the other treatments, they are largely irreversible. Id. at 26; Doc. 119, Ex. A at 13. Before the medical profession gained its current understanding of gender identity, some practices involved attempts to force transgender people to live in accordance with the sex assigned to them at birth, but
LGBTQ Critical Support Guide (citing Florida school survey data showing most LGBTQ students have been either verbally or physically harassed, discussing “pervasive safety concerns” of LGBTQ students, and stating that “[t]ransgender students are disproportionately targeted for harassment and violence” resulting in more than 50% of transgender students reporting a suicide attempt)). The School Board Attorney also testified that in reviewing the literature compiled by the task force that studied the school policies and in conducting other research, transgender students “are a vulnerable student population” who “fear for their safety,” and “are more prone to be victims of violence, bullying [and] physical [harm] than other students.” Doc. 162 at Tr. 120; see also Whitaker v. Kenosha Unified Sch. Dist. No. 1 Bd. of Educ., 858 F.3d 1034, 1051 (7th Cir. 2017) (citing “alarming” statistics which document the “discrimination, harassment, and violence” faced by transgender individuals because of their gender identity).
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