What happens when a psychiatrist who spent 50 years treating gender dysphoria refuses to abandon science for ideology?Dr. Stephen B. Levine’s journey from co-founding a gender clinic in 1974 to being labeled a “hateful guy” reveals how a field once seeking answers became allergic to questions. As WPATH transformed from clinical inquiry to advocacy, Levine witnessed the moment when booing replaced peer review at professional conferences.From paraphilias as barriers to love to the myth of the 2% regret rate, this conversation exposes why the medical treatment of trans-identified people makes everyone miserable — patients, families, and the doctors who dare to say “we don’t know.”