" The rights 
of every person are diminished when the 
rights of one are threatened." – John F. Kennedy



Tips for Parents (PDF)

Designed to provide reassurance to parents.


Frequently Asked Questions for Youth (PDF)

View our list of frequently asked questions for youth.


Frequently Asked Questions for Supportive Adults (PDF)

We also have a list of frequently asked questions for supportive adults.


Learning the Lingo (PDF)

An introduction to language used when discussing gender variant and transgender children


Recursos en Español (link)

Copies of the above resources, translated into Spanish.


Create a Safe Folder (link)

A “safe folder” is a collection of documents that are assembled in a binder or folder. It will be useful in protecting your family and educating others. This is something that you should not put off until you I “know for sure.” As soon as you suspect that your child might be transgender you should begin assembling this folder.


Being an Effective Advocate For Your Child (link)

How do you go about making sure your transgender child is accepted? Here are some effective guidelines as to how to proceed. Here’s a basic checklist for being an effective advocate for your child"


TYFA Talk Forum (link)

This group is a support and referral source for parents, grandparents and guardians negotiating the journey of raising gender variant and transgender children and youth ages 3-18. Prospective members will be asked to provide their first and last name, their child’s first name and age and a phone number where they can be contacted. (more info)


TYFA Media Manual for Parents (PDF)

TYFA acts as a consultant to both families and media outlets to ensure that respectful and educational work is produced when sharing stories about gender variant children. We are a national 501(c)3 organization that never charges parents or families for our service.


Research Participation Guidelines (PDF)

Have you been asked to participate in a research study? It can be empowering to engage in efforts to change public opinion, policy, and mental health and health care delivery and policy, but always check out the people asking you for your time, thoughts and stories. Above all, if the project doesn’t “feel right”, even if you can’t put your finger on anything specific, DON’T DO IT before you contact us.


Guidelines for Confirming GID Diagnosis (PDF): Letter from Pediatrician/Family Practice Doctor

One of the most important parts of the Safe Folder is a letter written by your child’s pediatrician/family practitioner confirming your child’s gender identity, and it should be one of the first items included in the folder. Whether your doctor has known your child for years or is new to your family, a supportive, informative letter can be easily written following a few simple guidelines.


Recommended Reading (link)

A list of selected books for children, teens, adults, and educators.



Other documents

Many of these documents should be printed and placed in your Safe Folder.

Endocrine Treatment of Transsexual Persons: An Endocrine Society Clinical Practice Guideline (PDF)

Published in June, 2009, this lengthy set of protocols for the treatment of transgender persons is the current standard for use by endocrinologists in the U.S. Archived in the Practitioners and the Parents Resources sections of this website.

Clinical management of gender identity disorder in adolescents (PDF)

A protocol on psychological and paediatric endocrinology aspects — Treatment outcome in transsexuals is expected to be more favourable when puberty is suppressed than when treatment is started after Tanner stage 4 or 5.


American Academy of Pediatrics (PDF)

This document is excerpted from “Caring for Your School-Age Child: Ages 5-12″, Bantam 1999. It was published by the American Academy of Pediatrics and briefly illustrates that by age 4, children’s gender identity is stable, and they know they will always be a boy or a girl.


AMA Resolution 122: Removing Financial Barriers to Care for Transgender Patients (PDF)

A resolution by the American Medical Association in support of insurance coverage by insurance carriers for the treatment of transgender persons.


To the Beat of a Different Drummer (PDF)

The article describes the gender variant child. Gender variance is defined as a behavioral pattern of intense, pervasive, and persistent interests and behaviors characterized as typical of the opposite gender. Gender variance, though, not a common issue in primary care practice, should be taken seriously when it presents.


Transgenderism, overview by Norman Spack, M.D. (PDF)

This article from Lahey Clinic Medical Ethics journal highlights the ethical concerns of providing treatment for transgender children.


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