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In a striking critique of the role social media plays in shaping young people’s understanding of gender transition, Dr. Hilary Cass, who spearheaded a comprehensive review of NHS gender identity services, has raised alarms over the “unrealistic” portrayals and expectations that dominate online platforms. Her insights come as the UK grapples with a growing number of young individuals identifying as transgender, a phenomenon she attributes, in part, to the influence of social media and prevailing gender stereotypes.
Misinformation and Misconceptions
Dr. Cass, a prominent paediatrician, shared her concerns during an interview on *Sunday with Laura Kuenssberg*, highlighting how misleading narratives can distort the realities of transitioning. She noted that many young people are unaware of the significant medical interventions involved in the process, which can often include intensive treatments and, in some instances, invasive surgeries. “There are a tiny number of people who will never be comfortable with their biological sex,” she explained, emphasising that for these individuals, medical pathways may be essential for a fulfilling life.
The review led to a pivotal change in NHS policy, including a ban on puberty blockers for minors, reflecting a shift in how gender dysphoria is addressed within the healthcare system. Dr. Cass stated, “We don’t understand why that is, but we have to try to help those people thrive as much as the young people who are going to grow out of this.”
The Impact of Social Media
Dr. Cass pointed to social media as a double-edged sword, where platforms that are meant to foster understanding can instead propagate harmful misconceptions. She articulated a troubling trend: children are increasingly misled into believing that non-conformity to gender norms automatically equates to being transgender. “If you are not a typical girl, if you like playing with trucks, or boys who like dressing up, or if you have same-sex attraction, that does not mean you’re trans,” she cautioned, asserting that these behaviours are merely normal variations of childhood expression.

The expert fears that the pressure to conform to idealised versions of gender identity, often showcased on platforms like Instagram, creates an environment where young people feel compelled to fit into narrow definitions of gender. “Children and young people were being given a narrative that it’s not OK to be anything but absolutely typical of the other girls on Instagram,” she lamented.
New Guidelines for Schools
In response to these challenges, Dr. Cass welcomed the recent draft guidelines on gender identity released by the Department for Education. These guidelines aim to provide educational institutions with a framework for handling gender identity issues among students, particularly pre-pubescent children. The guidance stresses the importance of caution, as premature social transition can lead to long-term consequences for young individuals who may later identify differently.
The proposed measures suggest that schools should avoid rigid gender stereotypes and take the time to understand each child’s unique feelings. Notably, the guidelines no longer impose a blanket ban on social transitions for primary school-age children, although such actions should be rare and approached with care. Schools are now encouraged to seek parental input unless doing so would pose a risk to the child.
A Call for Responsible Dialogue
Dr. Cass expressed concern that children have become collateral damage in a broader societal debate about gender reassignment, stating, “They were caught up in all the issues about single-sex spaces and sports and safe areas for women.” Such complexities, she argued, detract from the core issues confronting young people navigating their identities.

As the conversation surrounding gender identity evolves, it becomes crucial to ensure that young individuals are not lost in the fray. Dr. Cass’s insights serve as a reminder that the realities of transitioning are nuanced and often fraught with challenges that require careful, informed consideration.
Why it Matters
The ramifications of misleading information about gender identity can have profound effects on young people’s mental health and well-being. As social media continues to shape perceptions and expectations, it is imperative that both society and educational institutions foster an environment where discussions about gender are grounded in fact and empathy. Providing accurate information and support can lead to better outcomes for those navigating their identities, ensuring that they are equipped with the knowledge and understanding to make informed decisions about their futures.