This Boston Globe article about identical twins, one with male gender expression and one with female gender expression, outlines treatment options that I hope are available to everyone in the future. The article outlines how medications can be used to suppress puberty and allow family and professionals time to carefully consider the options and to explore the complex issues involved. Since puberty can be restarted at any time by simply withdrawing the medications, there are few drawbacks to this technique. If the person decides to continue, suppression of puberty reduces the amount of time, expense and pain that go into gender transition for people who have already gone through puberty.