It is a mistake to focus excessively on the problem that children lack capacity to consent to trans medicalisation. The problem is much more serious than that.   This audio essay explores how the concepts of medical care and consent have been queered by those campaigning for “gender affirmative” healthcare. By clarifying the mindset that leads people to find such treatments plausible, we can more effectively argue against them and disabuse those who have been hoodwinked by smoke and mirror tactics as words like “consent” and “healthcare” have multiple meanings so that the absurd is made to appear plausible.