An interview with Carey Callahan, a therapist who writes about gender dysphoria and transgender issues, with a focus on medical and healthcare aspects. Topics include: why well meaning discussions about trans/gender topics can inspire so much anger; how polarization on this topic relates to polarization in other areas; controversy around how many obstacles there should be for someone who wants to transition; criticisms of gender identity theory; the idea that gender identity theory itself may be amplifying dysphoric symptoms; the role of environmental factors.