The debate over how best to approach people who identify as transgender or non-binary is many-layered and can be complex. Medical questions about the evidence for the safety and efficacy of specific interventions, and the ethics of treating minors, deserve thoughtful and open discussion. The optimal way to incorporate transgender athletes into competition also could benefit from a good faith debate.

Unfortunately, discussion around transgender issues suffers from at least two sources. First, it has been coopted as part of a politically-motivated culture war. This reality is exactly the opposite of thoughtful good-faith discussion. Second, for most people wrapping their head around a reality that may not conform to traditional notions of strictly binary sex and gender takes a lot or processing. Misconceptions about the basic science are rampant, and are, in fact, encouraged by the culture warriors.