Disorders of Sex Development (DSD) and Gender Management Service (GeMS) | Research and Innovation

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Contact DSD/GeMS

  • 617-355-4367

  • (617-355-GeMS)

Norman Spack, MD, co-director of the Gender Management Service (GeMS) Clinic at Boston Children’s Hospital is part of the team that wrote groundbreaking new guidelines about how to treat children with Gender Identity Disorder. They suggest that at the first signs of puberty, physicians delay the onset of puberty and wait until the child is approximately 16 years old to begin any sort of hormone therapy involved in a gender transition.

More research about the long-term follow up of these children is also underway. We’re looking to see if their bone strength is normal and if that, along with pre-pubertal treatment, can help female-to-male achieve a taller height.

We are grateful to have been ranked #1 on U.S. News & World Report's list of the best children's hospitals in the nation for the third year in a row, an honor we could not have achieved without the patients and families who inspire us to do our very best for them. Thanks to you, Boston Children's is a place where we can write the greatest children's stories ever told.”
- Sandra L. Fenwick, President and CEO

Boston Children's Hospital
300 Longwood Avenue, Boston, MA 02115
For Patients: 617-355-6000
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