Johnny / Jenni, I'm going to diagnose you as being transsexual. Since you are just twelve years old, you're the youngest person I'm ever had to confer this diagnosis on. I'm going to set you up with an endocrinologist for hormone therapy. Then, after sufficient time has passed that you can adjust to living comfortably in the role of a girl, we can set you up with a surgeon and make plans for surgery. However, we will need your aunt's consent before we can start hormone therapy and facilitate full-time living as a female," she explained.