Given the British media’s recent pained wrangling with the very idea of gender affirmation as a potential ‘slippery slope’, the fact that more straig… - Shon Faye

Trans healthcare, then, is part of a wider political struggle for bodily autonomy that women, LGBTQ+ people, disabled people and ethnic minorities have all been fighting – a struggle that intensified during the decade of austerity that was the 2010s. This political struggle has primarily focused on trans adults, growing societal awareness of whom has allowed for more robust advocacy and rebuttal of the myths about medical transition. Even transphobes and reactionaries in the media and in politics, uneasy and disapproving though they remain, have come to begrudgingly tolerate adult medical transition as a matter of personal autonomy. After all, as trans people have successfully argued, adults are entitled to do whatever they want with their own bodies.

There can be no trans liberation under capitalism. This is a fact. Yet it’s not a popular view among liberal and centrist LGBTQ+ advocacy groups, who – as we’ve seen in the course of this book – talk about ‘trans rights’ in isolation as a range of personal freedoms and protections; and who cling to corporations and brands as potential ‘allies’ in the fight for social acceptance.

Conversations around domestic abuse and the dwindling provision for survivors usually focus on the most common scenario: heterosexual couples with a (cisgender) male perpetrator and a (cisgender) female survivor. Yet trans people face extraordinarily high rates of domestic abuse at the hands of their partners.