A 23-year-old woman, who transitioned to transgender as a teenager, is taking legal action against an English National Health Service gender clinic, saying she "should have been challenged more" by medical staff concerning her decision to have surgery.
Keira Bell was prescribed puberty blockers at the age of 16 after she sat through three one-hour-long consultations at the Tavistock and Portman NHS Trust, the UK's only gender-identity development service.
Although Bell admitted that her desire to change her gender gradually built as she discovered more about transitioning online, she felt she was not given enough therapy before being prescribed puberty blockers.
"I should have been challenged on the proposals or the claims that I was making for myself," she said. "And I think that would have made a big difference as well. If I was just challenged on the things I was saying."
Although Bell has recently stopped taking cross-sex hormones, she is still angry about how the process unfolded.
"I was allowed to run with this idea that I had, almost like a fantasy, as a teenager... and it has affected me in the long run as an adult. I'm very young," she said. "I've only just stepped into adulthood and I have to deal with this kind of burden or radical difference - in comparison to others at least."
A judge has agreed to a full hearing of the case against the Tavistock and Portman NHS Trust.