Recently, a high school classmate of mine posted a meme on Facebook that he must have thought was clever. It read: “Liberalism is when you think injecting cattle with hormones is evil... but injecting kids with hormones to change their gender is just fine.” He meant it as a joke, but I felt more sadness than outrage. Not because I expect everyone to understand the complexities of gender-affirming care, but because this kind of mockery reduces a deeply personal, often life-saving medical decision to a punchline. That meme prompted me to revisit an essay on Medium.com, titled "HRT Rewires the Brain: The Neuroscience of Transition." It was written by Kira Ry, a trans woman, psychologist, and parent of two children. I’ve revised and expanded it here, blending in my own reflections and lived experience, not to argue with my classmate, but to offer a compassionate, informed, and honest picture of what hormone therapy actually means for trans people, children, youth, and ...