218 Chapter 11 largely based on the findings gained in several of the studies included in this thesis, developed an ethics support tool, the so called ‘Competence Consultant’ (De Snoo-Trimp et al., 2022a). This tool provides clinicians with information and direction on how to deal with minors’ MDC (De Snoo-Trimp et al., 2022a). It would be very helpful if such an ethics support tool could be made available to clinicians in other countries as well. However, despite the grip these developments offer, ethical challenges and complex cases will be indistinguishably linked to care for transgender minors (Vrouenraets et al., 2021). The use of moral case deliberation (MCD), a relatively well-established form of clinical ethics support, shows to help clinicians to more effectively deal with these ethical challenges and complex cases (Dauwerse et al., 2014; Molewijk et al., 2008a; Vrouenraets et al., 2020). This thesis shows that care for transgender children and adolescents inherently involves ethical dilemmas, even if more clinical research data will be provided to underpin the evidence-base. Evidence alone will likely not be able to provide answers to all raised uncertainties concerning adolescent gender-affirming medical care. Ethical dilemmas will therefore probably remain part of this sensitive field of care. This thesis illuminates some of these ethical dilemmas and proposes ways of dealing with them in clinical practice.
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