The World Professional Association for Transgender Health (WPATH) needs to revise its Standards of Care (Version 7) to return to a modernised gatekeeping model (based on the previous two versions) for healthcare professionals to use to treat gender dysphoria in both adults and children safely.

Gender dysphoria is complicated, especially in children, and therefore requires prudent management. The current 'informed consent' model, based on Standards of Care Version 7 (SOC7), is not prudent. If the SOC does not change, it will continue to fuel harmful phenomena such as rapid-onset gender dysphoria (ROGD).

Given that there has been an unwillingness in mainstream academia to research ROGD, the SOC must acknowledge the dangerous unknowns of ROGD. Accordingly, the SOC must be revised to return to a modernised gatekeeping model (based on the previous two versions). It's not too late to avert the tragic consequences of SOC7.