Some of these children, who were as young as five-years old, were already undergoing treatment for gender dysphoria that prepared them for a sex change later in life. Others were considering embarking on the process. The one constant in every case, however, was the dilemma these children posed to their parents. What do you say to your son who wants to wear girls’ clothing, behave in a ‘feminine’ way or asks to be called a girl’s name? Do you brush it aside as a ‘phase’ or take it seriously and help him navigate his way through what is a life-changing and potentially destabilising situation for everyone involved?