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The transgender child is a familiar and polarizing trope in the present century. Some, such as the writer J. K. Rowling, take transgender children to be cultural fictions: there are no trans kids, as there are no mermaids or leprechauns. Others, including prominent figures in pediatric gender medicine, hold that some children are transgender, just as some children have brown eyes or are naturally outgoing. The only difference is that transgender children require special support, unlike brown-eyed or outgoing children. Instruction manuals are needed, for instance Brill and Pepper’s The Transgender Child: A Handbook for Parents and Professionals. And when puberty commences, medical interventions may be recommended. A third view is that transgender children are examples of “making up people” in the sense of Ian Hacking’s eponymous 1986 essay: transgender children are brought into existence by a social process that involves (in part) naming or classifying children as transgender. This paper defends the third view: there are trans kids, but they are made, not discovered.

Keywords: The transgender child; Ian Hacking; gender affirming care; gender identity disorder; gender dysphoria; gender incongruence; transgender