Abstract
Over the past 40years, care for transgender youth has evolved from essentially nonexistent to being the standard of care. Pioneering work in the Netherlands led to the Dutch Protocol, using gonadotropin analogues to suppress puberty. The first program for youth in the United States was started by this author. Now there are society guidelines for care, multidisciplinary programs throughout the country and even options like summer camp for gender nonconforming youth. This chapter, a very personal narrative, describes this evolution.
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