In B.C., we have a specific assessment schedule or requirements that need to be gone through. We have specially trained physicians.
The question you have asked really becomes difficult with adolescents or pre-teens because we know there is actually harm to be done with pre-teens who are really gender dysphoric, do not get hormone therapy and then go through puberty in the sex that they do not feel comfortable with. In B.C., we definitely have specialty doctors who do the initial assessments and then give their recommendations. It's quite an extensive assessment. It's not just saying, “I want this or I want that”.