The paper, published in the Canadian Paediatric Society’s journal, is highly ideological and ignores all of the recent international developments that call the practice of affirming and transitioning minors into serious doubt. The paper gives informed readers the impression that gender medicine in Canada exists inside a protective bubble that evidence and reason cannot penetrate. The authors base their recommendations on two case studies. One is a six-year-old boy who goes by the name of Eva. Eva “has worn dresses for the past two years” and the parents use female pronouns to refer to their son. In such circumstances, pediatricians are advised to “describe the many benefits” of affirming a young child’s transgender identity.