Research shows that gender identity is established very early in human development, not something that emerges during adolescence or adulthood. Evidence indicates that transgender adults did not suddenly become transgender when they reached a certain age, but rather recognised and understood something that had always been part of their identity.

Studies consistently demonstrate that gender identity typically develops between ages 2-4, around the same time children learn other fundamental aspects of their identity. When children express a transgender identity, they are not making premature decisions about something uncertain. Instead, they are articulating an understanding of themselves that aligns with established research about early gender identity formation. Guidelines from major medical organisations recognise that children can have a clear sense of their gender identity from a young age.

The concern that children are too young to understand their gender identity often stems from misunderstanding the difference between gender identity and gender expression or medical interventions. Children who identify as transgender are simply communicating how they understand themselves, much like any child might express preferences about their identity. This recognition of their own experience deserves the same respect and consideration we would give to any aspect of a child's developing sense of self.