Page:Adams ex rel. Kasper v. School Board of St. Johns County, Florida (2018).pdf/11

 transition to present as a male, which included cutting Adams’ hair short, wearing a chest binder (a garment which flattens the breast tissue) and masculine clothing, asking people to switch to male pronouns when referring to him, and using the men’s restrooms when in public. at Tr. 95, 101. When Adams uses the men’s restroom, he walks in and enters a stall, closes and locks the door, relieves himself, exits the stall, washes his hands, and leaves. at Tr. 202.

Adams’ psychologist determined he met the criteria for gender dysphoria, and in May 2016, she supported his request to begin treatment with an endocrinologist for his medical transition, which included taking birth control to halt menstruation and testosterone to make his body more masculine. at Tr. 98–100; Doc. 151, Pl. Ex. 134. In May 2017, Adams had a double mastectomy. Doc. 160-1 at Tr. 105.

Adams has also worked on the legal transition. The Florida Department of Highway Safety and Motor Vehicles follows the recommendations of the WPATH in establishing procedures for changing gender on Florida driver’s licenses, requiring a statement from a medical provider that the applicant is undergoing clinical treatment for gender transition. Doc. 147, Ex. A (Florida Driver License Operations Manual) at LR07.2b. Within certain guidelines, the Florida Department of Health,