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In many ways, Max is a typical 14-year-old. He eschews soft music in favour of rock and heavy metal, likes to wear hoodies, giggles when he’s nervous and has a flair for drawing animals. He can be opinionated and sarcastic one moment, shy and withdrawn the next.

His insecurities, however, run deeper than run-of-the-mill teenaged angst.

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“I have a male brain that doesn’t match up with the body I’m in,” says the Grade 9, Surrey, B.C., student, who was the female gender at birth.

“It’s like being trapped in a cage.”

Max is now at the centre of a complicated legal fight over who gets to decide the course of treatment for his gender dysphoria. Max and his mom, Sarah, with the support of the gender clinic at B.C. Children’s Hospital, want to proceed with a treatment plan that would involve injecting Max with testosterone — a key step, they say, in Max’s desire to transition from a female to a male body.

But Max’s father, Clark, who is separated from Sarah and shares joint custody of Max, believes things are moving too fast and worries about the treatment’s risks. Why can’t Max wait until he’s an adult before taking such a big step? What if Max comes to regret his decision, but the changes are irreversible? Doesn’t the father get to have a say in the matter at all?