Bioethical problems in health care of trans minors

Abstract

Health care for trans minors is a challenge at the present time, pediatricians, endocrinologists, families and children and young people themselves faced with a complex cultural context. On the one hand, the need to contact health services is intrinsic to the fact of transsexuality, a fact that is evident in the extensive legislative development in recent years, which has at its maximum exponent the trans law proposal that has recently been approved the government of our nation. However, and although the main purpouse is to end the pathologization of the group, in the context of minors there are many problems to analyze: what is the best interest of the minor? Who can give informed consent and if it is valid under what circumstances? Do minors and families understand that the treatments offered could raise doubts about efficacy and safety for the professionals who care for them, or even that they could be understood to some extent as experimental? The recent Bell v Tavistock sentence of the Supreme Court of England and Wales is a key document that we will analyze in search of some of these keys.