Reply to comment on “Serving Transgender Youth: Challenges, Dilemmas, and Clinical Examples” by Tishelman et al. (2015)

We appreciate the correction of the historical record, that the Amsterdam clinic was the third and not the first specialty clinic to serve gender dysphoric children and youth. The clinics in Los Angeles and Toronto should be recognized for their pioneering work in this important field. Our intent was to highlight the critical role of the Amsterdam group, the first pediatric academic hospital-based program to provide pubertal suppression for transgender adolescents. The Amsterdam model of care set the stage for the current guidelines published by the World Association for Transgender Health (WPATH) and the Endocrine Society with respect to medical intervention for transgender adolescents, and was the model used to construct the clinic at Boston Children's Hospital, on which this article was based.