At 20 years old, activist Chloe Cole, who underwent sex-change treatments and surgery as a child, is now a vocal advocate against these procedures for minors. Her advocacy comes as the Supreme Court heard arguments in U.S. v. Skrmetti, a pivotal case concerning Tennessee's law banning such treatments for children.

Cole believes the Supreme Court's decision could have nationwide implications, potentially influencing similar legislation in other states. She stresses the urgency of protecting children from what she describes as a generational identity crisis, emphasizing the irreversible physical and psychological consequences of these interventions.

Having transitioned from female to male between the ages of 12 and 17, Cole now experiences chronic pain and significant health challenges. She details the effects of puberty blockers, testosterone injections, and a double mastectomy, highlighting the physical and emotional toll these procedures have taken on her life. She describes experiencing premature menopause-like symptoms as a young teenager, including hot flashes and other discomforts.

While some argue that these treatments improve mental health and prevent suicide in gender-confused children, Cole and other detransitioners counter that they can cause psychological harm in addition to physical problems. Cole describes the lasting impact of testosterone on her bone structure, voice, and facial hair growth, as well as the ongoing issues she faces with her urinary tract, pelvic pain, and sexual function. These complications, she explains, affect not only her physical well-being but also her emotional and psychological state, impacting her aspirations for marriage and motherhood.

Cole emphasizes the uncertainty surrounding the long-term effects of these treatments, expressing concern about her future health and fertility. Despite her personal struggles, she remains committed to advocating for children, urging that they be allowed to grow up with their bodies intact and learn to love themselves as they are.