Stephanie Davies-Arai founded Transgender Trend in 2015 and ever since has been a key figure in uncovering the issues related to paediatric medical transition. In 2022, Queen Elizabeth II awarded Davies-Arai the British Empire Medal for services to children. Professionals rely on a chain of trust: doctors expect the research to be correct; therapists presume that the Standards of Care are trustworthy; teachers believe that recommendations are appropriate. What happens when that trust is betrayed?