In a recent decision, the British Columbia Court of Appeal ruled that it would not interfere with a lower court ruling that a female-born minor had given informed consent, at the age of 13, to take puberty blockers and receive testosterone injections.
Known as “AB” in court documents, the child is now growing facial hair, shaving, and speaking with a deeper intonation as a result of the testosterone. If AB continues with the treatment, AB will lose the ability to conceive children. Eventual full surgical “transitioning” would involve the removal of AB’s female genitals, breasts, and uterus, and “phalloplasty” to surgically construct a penis using tissue from other parts of the body.