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Shawna is a 35-year-old woman who is legally prohibited from taking her kids to the park. Years earlier, on her 19th birthday, Shawna and her friends were drinking and celebrating. Now Shawna is spending the rest of her life on the sex offender registry, even though the mother of two is obviously no threat to children.A teen boy expressed interest in her, and they slept together. , a documentary by David Feige* about sex offender laws.For a lot of people, that's important." Jay laughed nervously. "He doesn't care." "Jay," Thakar said, her voice lowering. "I want all of your doctors to be involved and have a group of us agree. He fumbled through his closet until he found the yearbook. Nancy read it twice, then slammed the pages on the glass coffee table. The state of Washington required transgender patients to send three letters of recommendation for surgery. At school, the yearbook staff posted a survey online for class favorites. Now she had a boyfriend and a life chugging forward. His mom suggested a trip to Klineline Pond, but he didn't want to go anywhere near water. "The last thing I'm going to say is - and it's going to sound really serious because it is - removing the breast, that's irreversible." She paused. We all want the best for you." Jay had hoped he would have the surgery before school started. He flipped to the page the girl had shown around school and looked at the picture. Public health officials accepted letters from Selva and Thakar, but the note from Jay's counselor hadn't been good enough. "What if you were a boy walking around with breasts? Jay's name was inadvertently listed on the girl's side. She did, but Jay couldn't help wondering if anyone had seen. It seemed like Jay went out of his way to be rude to her, she said. Employers have fired her when they learned about her status.She struggles to explain to her kids why their mother faces so many restrictions, and she must deal with the pariah status afforded to people who have been branded with "lewd or indecent proposals/acts to child" on a national online database.

Seventeen million people tuned in the night Caitlyn Jenner came out on national TV as a transgender woman. He hadn't told many friends that he was transgender, too. "I have more important things to do than watch someone who's rich and has their life figured out," Nancy Munoz said. For the first time in years, he volunteered to accompany his mom to Win Co for groceries. He bandaged his A-cup breasts so tight that he breathed in bursts. His long lashes froze as the patient made her way to the parking lot. If Thakar removed Jay's breasts at 15, she likely would have to perform a revision surgery later. A friend had nominated Jay for the court, and he had scored enough votes to make it. As they left the pediatrician's office, Nancy told Jay he needed a haircut. "I really want you to talk about it with your mom," Thakar said. They had talked about "the pregnant man," a transgender guy in Bend, Oregon, who'd become famous when he stopped taking testosterone long enough to give birth. Medicaid wouldn't pay for Jay's surgery, the letter said, unless he saw a psychiatrist. When Jay started transitioning, most people didn't know a transgender person. If she accidentally stepped on his foot, he purposefully stepped on both of hers. "The major reason is you can't breastfeed if your breasts are not there." "Yeah," Jay said. Nancy dialed the number at the bottom of the letter. State legislatures introduced more than 115 anti-LGBT bills the year Caitlyn Jenner came out. When Maddie started dating a guy, they drifted further apart. "What they see is a boy." "It's not lying," Jay said. But he couldn't think about girls or school or anything else until the breasts were gone. And in August, eight months after his first dose of testosterone, he started injecting the shot himself. Two doctors, two nurses, a psychiatrist and a psychiatric nurse practitioner worked together to decide when teenagers were ready to take irreversible steps. The therapist he had seen didn't specialize in transgender kids. He and his best friend Maddie spent afternoons working out in the school weight room. The office had expanded since Jay first visited two years before.

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He stood in front of his closet before school and worried his 2Pac T-shirt revealed too much. At Jay's school in Vancouver, Washington, the principal knew at least half a dozen kids whose gender identities and anatomies didn't match. She performed top surgery an average of three times a week, but only on adults. He went that August, but that psychiatrist agreed with Tobin - no surgery until Jay made friends.