In 1975, Dr. Susan Bradley founded Toronto’s first gender clinic for children at the Clarke Institute of Psychiatry. For nearly five decades, she treated over 400 gender-dysphoric children and chaired the DSM-IV Subcommittee on Gender Identity Disorders. The pattern she observed was impossible to ignore: “Even the ones who’ve gone through some of this and come out in our clinic, they’re nearly all gay or lesbian.” Now, in her eighties, she’s speaking out about what went wrong.