Duke Medicine opened its Gender Clinic in 2015 to offer a wide variety of services under one roof. The clinic treats children as young as two for gender dysphoria.
Dr. Deanna Adkins, a transgender activist who runs the clinic, said this about her toddler trans patients in an interview with the Charlotte Observer in 2016:
“They are not old enough to consciously just choose to do that. … It is not a choice in any of my patients. It’s really an unpleasant thing to have going on in your body to feel that distress about yourself. I can’t imagine anyone who would choose to do that.”
In her expert declaration to a federal district court in North Carolina concerning H.B. 2 Adkins stated, “From a medical perspective, the appropriate determinant of sex is gender identity.”


