Page:Adams ex rel. Kasper v. School Board of St. Johns County, Florida (2020).pdf/4

 his long hair short, dressing in more masculine clothing, wearing a chest binder to flatten breast tissue, adopting the personal pronouns “he” and “him,” and using the men’s restroom in public. Mr. Adams embraced these changes. Socially transitioning to using the men’s restroom, Mr. Adams explained at trial, is “a statement to everyone around me that I am a boy. It’s confirming my identity and confirming who I am, that I’m a boy. And it means a lot to me to be able to express who I am with such a simple action because … I’m just like every other boy.”

The psychiatrist also supported Mr. Adams’s request for medical treatment for his gender dysphoria. Mr. Adams began a birth control regimen to end his menstrual cycle and met with social workers and endocrinologists to obtain a prescription for testosterone to masculinize his body. About a year after his diagnosis with gender dysphoria, Mr. Adams underwent a bilateral mastectomy to remove his breast tissue. At the time of trial, Mr. Adams contemplated further surgeries to alter his internal reproductive organs and external genitalia, but he could not take those steps before reaching the age of 18.

Alongside his social and medical transition, Mr. Adams amended his legal documents to reflect his male sex. Following Florida agencies’ established procedures for gender change, Mr. Adams updated the sex marker on his learner’s driving permit (which became his driver’s license) and his original birth certificate.