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gender dysphoria is a condition where a personamp;#39;s physical biological sex is one say a boy but in the personamp;#39;s mind they think theyamp;#39;re really a girl or vice versa itamp;#39;s not something that you can identify on any objective test you canamp;#39;t do a blood test for example you canamp;#39;t do mri imaging you canamp;#39;t do genetic testing to actually find this gender identity my name is dr michael layla iamp;#39;m an endocrinologist in rockland california this gender identity which is really a child saying i believe iamp;#39;m this i believe iamp;#39;m a boy i believe iamp;#39;m a girl something opposite of their body once they say that they go down this road of gender affirmative therapy thatamp;#39;s consists of social transition wearing say stereotypical clothes of the opposite sex to pretend that theyamp;#39;re the opposite sex then these puberty blockers then these cross-sex hormones and then finally surgical modifications to the body to try t