Overview

• The guideline, developed over seven years by 26 medical societies and two patient organizations, provides a unified standard for treating transgender minors in Germany.
• It covers all aspects of care, including psychiatric diagnostics, psychosocial support, psychotherapy, and gender-affirming medical interventions.
• Adolescents can decide on hormone therapy with parental consent, supported by experienced professionals, ensuring well-informed and autonomous decisions.
• Before starting puberty blockers or hormone therapy, extensive psychiatric assessments, including multiple sessions with specialists, are mandatory.
• Puberty blockers are fully reversible, while gender-affirming hormone therapy induces permanent changes, requiring high cognitive and emotional maturity.