Video footage reveals that clinicians in the transgender medical industry admit they work under minimal standards of care when they perform life-changing procedures on minors, joining with these vulnerable young people as “collaborators” in making their dream of having a body of the opposite sex – or even of no sex at all – come true. Now, instead of objectively evaluating Sky’s expressed desires in the context of his medical history, his family life, social life, education, etc., Mair Marsiglio, a psychologist and colleague of Penkin, told conference attendees that mental health professionals in the trans industry must “reframe” their role to be a “collaborator” rather than a “gatekeeper.”