We, the undersigned of this petition, recognize detransitioners (those who desist from gender transition) as members of the diverse community of sexual and gender minorities whose healthcare needs the US HHS NIH SGMRO is intended to serve. We call upon the US HHS NIH SGMRO to acknowledge the existence of the growing detrans community, and to allocate funds in direct support of detransitioners' unique, urgent, and largely unmet medical needs.

The Sexual & Gender Minority Research Office (SGMRO) was established in 2015 to coordinate SGM-related research and activities at the National Institutes of Health (NIH). The National Institutes of Health (NIH) is an operating division within the United States Department of Health and Human Services (HHS).

Detransitioners are by nature gender-nonconformists, and many if not most are same-sex attracted. The Office's definition of "SGM" is rightfully broadly written, and it would include detrans folk:

> Sexual and gender minority (SGM) populations include, but are not limited to, individuals who identify as lesbian, gay, bisexual, asexual, transgender, two-spirit, queer, and/or intersex. Individuals with same-sex or -gender attractions or behaviors and those with a difference in sex development are also included. These populations also encompass those who do not self-identify with one of these terms but whose sexual orientation, gender identity or expression, or reproductive development is characterized by non-binary constructs of sexual orientation, gender, and/or sex.

Yet the SGMRO makes no mention of detransitioners on their website:

Detransitioners are an emergent and growing community. Individual profiles have been increasingly published in recent years by BBC, CBC Radio Canada, HuffPost, IJR, Independent, Paper, Sky News, The Atlantic, The Daily Signal, The Guardian, The Stranger, The Sydney Morning Herald, Them, USA Today, and Vocativ.

The world's first and largest online community of detransitioners, r/detrans, has grown in less than two years to include over 2,000 detransitioners and over 3,000 allies globally.

Detransitioners' numbers and experiences have long been downplayed by unreasonable terminologies and methodologies within the medical community. Even worse, new and unbiased attempts at scientific research into detransitioners' demographics, well-being, and medical needs have been censured.

Detransitioners are a repressed community, presumably for not fitting the dominant prescription of gender transition to alleviate gender dysphoria. Partisan, identity-based activism has inappropriately taken precedence over evidence-based care and the credo first to do no harm.

Detrans folk have experienced gross mistreatment and neglect by the status quo of gender-specializing healthcare professionals. Many detransitioners have been irrevocably harmed and traumatized, both mentally and physically, by the gender-affirmation model. This radical medicalization too-often presents inadequate differential diagnostic procedures, and it unfairly labels noninvasive approaches to gender dysphoria with politicized slurs. It is especially harmful to individuals not yet of neurological maturity, and to those of atypical neurology.

Detransitioners deserve better. Desistance from transition shouldn't be shamed. Discussion, research, and support for detransitioners shouldn't be taboo.

The needs of detransitioners are urgent and largely unmet. They often include:

Social interaction and re-integration;

Suicide prevention;

Psychological referrals free of gender-affirmation;

Primary-care physician referrals free of gender-affirmation;

Endocrinologist referrals free of gender-affirmation;

Access to same-sex HRT;

Access to facial and bodily hair-removal for females;

Surgical referrals for chest/breast and genital reconstruction in males and females;

Research efforts to develop donated organ transplants;

Research efforts to develop laboratory-regenerated organ implants;

General questions of what outcomes, timelines, and strategies to expect and achieve in detransition, based on sex, age, duration of transition, and methods of transition;

As well as many legal questions, such as guidance and options in document restoration, and options for post-transition justice.

We, the undersigned of this petition, recognize detransitioners (those who desist from gender transition) as members of the diverse community of sexual and gender minorities whose healthcare needs the US HHS NIH SGMRO is intended to serve. We call upon the US HHS NIH SGMRO to acknowledge the existence of the growing detrans community, and to allocate funds in direct support of detransitioners' unique, urgent, and largely unmet medical needs.