Since the launch of the Cass Review in 2020, the situation for trans children in the UK has continued to decline (Madrigal-Borloz, Citation2023). In 2022 the UK Minister for Health called for clinicians to look for evidence of “what has caused children to be trans,” citing the Cass Review to claim that “identifying as trans” is likely to be a response to “child sex abuse” (Milton, Citation2022). The Cass Review was cited by the British government to justify plans to exclude trans people from legislation to ban conversion therapy (British Psychological Society, Citation2022). The Cass Review was also cited to justify the closure of existing children’s gender services for England and Wales, with services ceasing to see any new referrals 18 months before replacement services are expected to be operational (Ali, Citation2023). Trans healthcare professionals outside of the UK have critiqued the Cass review (Pang et al., Citation2022) as well as critiquing healthcare policies inspired by the Cass Review such as the NHS’ 2023 draft service specification (WPATH et al., Citation2023).