23 General introduction 1 of moral case deliberation (MCD), a relatively well-established form of clinical ethics support. We offered MCD to several treatment teams of Dutch gender identity clinics. This was evaluated in a mixed methods study using individual interviews, focus groups, MCD evaluation questionnaires, and reports of MCD sessions. In chapter 10 the studies of this thesis are summarised and discussed. Suggestions for future studies, and implications for clinical practice are given.