That was disturbing news to Angelica Jadunandan, who moved to New York from Florida with her two young daughters three years ago. Her older daughter, who is eight, is transgender, and Angelica wanted to move them to a safe blue state—somewhere her family’s medical care would not be called into question. New York is a self-declared “sanctuary state” for trans people. It seemed like a good option.


The estrogen isn’t reversible but testosterone would still work. In short, if she were to detransition she would have a feminine bone structure, breasts, and would likely be a bit smaller, but should otherwise develop fine.
The bigger thing is that at 16 you’re really balancing risks here. Detransition of a 16 year old who’d been on puberty blockers is very rare. Hitting 18 without any puberty is socially isolating and developmentally awkward. And going through the wrong puberty has permanent effects too as well as feeling like some sort of body horror. A choice has to be made and the person who is nearly an adult and has to experience the consequences is the one most likely to get it right, especially when they’ve thoroughly discussed it with doctors and therapists.
You mention hitting 18 without any puberty. What does that actually look like. I assume a person of any gender would just be shorter in general, but I don’t even know if that is true. For female, there would be no breasts, but I assume one could wear something that would make it look like there were. That doesn’t cover person to person contact, but it at least covers some phsyical appearance. Of course word would get around at school, but at 18 that would likely end. But there must be more. I am just not sure what puberty blockers would prevent that would be socially obvious, and I am curious.
She’d have a childlike fat distribution. Her bones may fuse in an androgynous way. She’d not develop sexual desires. Her muscle structure would remain childlike. She’d be slower to adult bone density.
Hell, all the mental and emotional changes that come with puberty at 16 she’ll be pretty late to all of that, but having to wait to 18 is taking two more years from it. Those are two years hanging out with peers and rebelling against parents. Of teenage angst. Of early dating at an age where it’s understood to probably go nowhere so you can make mistakes. It’s also two years of her body still feeling wrong, of clothes not fitting right, of not seeing the face she’s already jumped through so many hoops in pursuit of. It’s the entire lived experience of being 16 and not allowed to go through puberty for two more years unless you take the one you really don’t want.
For someone who’s uncertain it may very well be a better decision than picking a puberty. But for someone who is certain and whose doctors believe seriously understands the choices being made it should be her choice
I also think it’s worth saying here, that as various citizens not involved and for the government the question isn’t “what is the right choice”, but rather whether or not we should restrict the freedom of bodily autonomy for the teenager and the freedom of medical professionals to do what they believe is best for their patients. The neutral option is to not interfere in someone else’s medical choices.