Overview

• The guideline, developed by 26 medical and psychotherapeutic societies and two patient organizations, standardizes care for transgender minors in Germany.
• It provides comprehensive recommendations for diagnostics, psychosocial support, psychotherapeutic care, and gender-affirming interventions.
• Adolescents can decide on hormone treatments with parental consent, supported by professionals trained in gender care.
• Mandatory psychiatric evaluations are required before puberty blockers or hormone therapy, ensuring careful and individualized decision-making.
• Puberty blockers are fully reversible, while hormone therapy causes permanent changes and requires lifelong maintenance.