Hill’s primary beef, however, is that he does not really accept the possibility that children can experience marked discomfort with their gender (gender dysphoria), other than seeing it as secondary to the reaction of others. In my view, this is a simplified understanding of the complexity of gender development. Consider, for example, a 3-year-old girl who repeatedly states that she is a boy or that she wants to be a boy. Her parents reply by telling her that she is a girl, and the child’s reaction is to cry and insist otherwise. Hill’s interpretation of such distress is that it is merely the result of the parents’ reaction, not the possibility that the child is also struggling with a complex feeling state. Of course, if the parents went along with the child’s fantasy that she was a boy, there would be no overt distress, but it would hardly solve the underlying problem and would merely reinforce it.